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PRESENCE CHICAGO HOSPITALS NETWORK
DSH140180 Presence Saints Mary and Elizabeth Medical Center
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Covered Entity Details
Entity Name
Presence Saints Mary and Elizabeth Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140180
Entity Address
2233 WEST DIVISION STREET
CHICAGO, IL 60622
Medicare Provider Number
140180
Participating Start Date
7/1/2003
Last Recertification Date
8/16/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
PRESENCE CHICAGO HOSPITALS NETWORK
Pharmacy Address
DBA AMITA HEALTH HOME INFUSION PHARMACY
7435 W TALCOTT AVE STE T1289
CHICAGO, IL 60631
Pharmacy Comments
Contract Details
Approval Date
1/3/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Eric M Zornow, CFO
(312) 770-2105
Contract Pharmacy Representative
Amita Health
Laura Ozelie, Pharmacy Director, Home Infusion
(219) 765-4450
Signed By Date
1/3/2022
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