340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ADVENTIST GLENOAKS HOSPITAL
DSH140292 UChicago Medicine AdventHealth GlenOaks
Print
Covered Entity Details
Entity Name
UChicago Medicine AdventHealth GlenOaks
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140292
Entity Address
701 WINTHROP AVENUE
GLENDALE HEIGHTS, IL 60139-1405
Medicare Provider Number
140292
Participating Start Date
7/1/2005
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
ADVENTIST GLENOAKS HOSPITAL
Pharmacy Address
DBA UCHICAGO MEDICINE ADVENTHEALTH PHARM
701 WINTHROP AVE
GLENDALE HEIGHTS, IL 60139
Pharmacy Comments
Contract Details
Approval Date
7/1/2020
Contract Begin Date
7/28/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Vladimir Radivojevic, President & CEO
(630) 545-7258
Contract Pharmacy Representative
AMITA Health
Myra Priser, Pharmacy Manager
(630) 856-8126
Signed By Date
7/1/2020
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