340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140182P ADVOCATE NORTH SIDE HEALTH NETWORK (Terminated)
Print
Main Details
Name
ADVOCATE NORTH SIDE HEALTH NETWORK
Subdivision Name
ADVOCATE ILLINOIS MASONIC - Darien Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140182P
Medicare Provider Number
140182
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/7/2020
Last Recertification Date
9/8/2020
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health Care
Angela De Ianni, Vice President Pharmacy Supply Chain
(414) 630-1541
Addresses
Street Address
2622 W 83rd St
Darien, IL 60561
Billing Address
Same as Street Address
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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