340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140115B THOREK HOSPITAL AND MEDICAL CENTER (Active)
Print
Main Details
Name
THOREK HOSPITAL AND MEDICAL CENTER
Subdivision Name
THOREK MEMORIAL HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140115B
Medicare Provider Number
140115
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/16/2016
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Thorek
Ned Budd, CEO
(773) 975-6705
Primary Contact
Thorek Memorial
John Li, Pharmacy Director
(773) 975-6803
Addresses
Street Address
840W IRVING PARK RD 305
CHICAGO, IL 60613-3011
Billing Address
Thorek Memorial Hospital
850 W Irving Park Rd
Pharmacy Department
Chicago, IL 60613-3011
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session