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DSH140158 Insight Hospital and Medical Center Chicago (Active)
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Main Details
Name
Insight Hospital and Medical Center Chicago
Subdivision Name
MAIN SITE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140158
Medicare Provider Number
140158
Additional Details
Current Program Status
Active
Registration Date
4/23/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/23/2008
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Insight Hospital and Medical Center Chicago
Baseer Tajuddin, General Counsel
(217) 377-6978
Primary Contact
Insight Hospital and Medical Center Chicago
David Charles Hughes, Chief Pharmacy Officer
(401) 249-1963
Addresses
Street Address
2525 S. MICHIGAN AVENUE
CHICAGO, IL 60616
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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