340B Drug Pricing Program Database
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DSH140292 UChicago Medicine AdventHealth GlenOaks (Active)
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Main Details
Name
UChicago Medicine AdventHealth GlenOaks
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140292
Medicare Provider Number
140292
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/1/2005
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
UChicago Medicine AdventHealth Glen Oaks
Zachary James Dye, UCM AdventHealth Glen Oaks CFO
(630) 864-9299
Primary Contact
UChicago Medicine AdventHealth Bolingbrook
DAVID TSANG, 340B PROGRAM DIRECTOR
(847) 372-8408
Addresses
Street Address
701 WINTHROP AVENUE
GLENDALE HEIGHTS, IL 60139-1405
Billing Address
UChicago Medicine AdventHealth GlenOaks
c/o AdventHealth
902 Inspiration Ave
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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