340B Drug Pricing Program Database
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DSH140208H ADVOCATE CHRIST MEDICAL CENTER (Active)
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Main Details
Name
ADVOCATE CHRIST MEDICAL CENTER
Subdivision Name
CMC Transplant Clinic - Transplant
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140208H
Medicare Provider Number
140208
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/5/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/15/2024
Last Recertification Date
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health
Jason G Nowak, Director, Pharmacy 340B Program
(414) 640-8457
Addresses
Street Address
4400 W 95th St
Ste 112
Oak Lawn, IL 60453
Billing Address
Advocate Christ Medical Center
4440 W 95th St
Oak Lawn, IL 60453
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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