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DSH140150A UNIVERSITY OF ILLINOIS HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF ILLINOIS HOSPITAL
Subdivision Name
UI HEALTH Ambulatory Care Clinics
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140150A
Medicare Provider Number
140150
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/24/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/24/2009
Last Recertification Date
9/8/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
University of Illinois Hospital
Michael B. Zenn, Chief Executive Officer
(312) 355-5706
Primary Contact
Andrew Donnelly, Pharmacy Director
(312) 996-3671
Addresses
Street Address
1801 W. TAYLOR STREET
CHICAGO, IL 60612
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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