340B Drug Pricing Program Database
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DSH140208G ADVOCATE CHRIST MEDICAL CENTER (Active)
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Main Details
Name
ADVOCATE CHRIST MEDICAL CENTER
Subdivision Name
Ambulatory Care - Wilmette Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140208G
Medicare Provider Number
140208
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/21/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health
Jason G Nowak, Director, Pharmacy 340B Program
(414) 640-8457
Addresses
Street Address
3232 Lake Ave
330
Wilmette, IL 60091-1085
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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