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HEALTH DELIVERY MANAGEMENT LLC
DSH140119 RUSH UNIVERSITY MEDICAL CENTER
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Covered Entity Details
Entity Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140119
Entity Address
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Medicare Provider Number
140119
Participating Start Date
12/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
HEALTH DELIVERY MANAGEMENT LLC
Pharmacy Address
RUSH SPECIALTY PHARMACY
1520 W HARRISON ST RM 04068
CHICAGO, IL 60607
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
10/3/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia Steeves ONeil, CFO
(312) 942-5647
Contract Pharmacy Representative
Health Delivery Management, L.L.C.
Matthew Kemper, Director, Clinical Operations
(312) 563-2326
Signed By Date
10/3/2022
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