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UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
CH05758P UNIVERSITY OF ILLINOIS
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Covered Entity Details
Entity Name
UNIVERSITY OF ILLINOIS
Subdivision Name
Mile Square Englewood STEM-Cook Satellite
Type
HRSA-Funded Health Center
340B ID
CH05758P
Entity Address
8150 South Bishop
Chicago, IL 60620
Grant Number
H80CS00324
Participating Start Date
10/1/2017
Last Recertification Date
2/14/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
Pharmacy Address
1220 S WOOD ST STE 1045
CHICAGO, IL 60608
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael Moss, Associate Vice Chancellor, Budget & Financial Analysis
(312) 996-0306
Contract Pharmacy Representative
University of Illinois Mile Square
Rhondi Inman, Assistant Director
(312) 413-1767
Signed By Date
1/12/2018
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