Forum Extended Care Services of Central Illinois
NPI #1689024036 in Springfield, Illinois
Provider Information
- NPI Number
- 1689024036
- Entity Type
- Organization
- Organization Name
- Forum Extended Care Services of Central Illinois
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jun 16, 2016
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 2205 WABASH AVE STE 211
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5356
- Phone
- (847) 673-8727
Authorized Official
- Name
- BRIAN KRAMER
- Title
- PRESIDENT
- Phone
- (847) 673-8727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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