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UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
CH05758R UNIVERSITY OF ILLINOIS
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Covered Entity Details
Entity Name
UNIVERSITY OF ILLINOIS
Subdivision Name
University of Illinois Medical Center - Mile Square Health Center at South Shore
Type
HRSA-Funded Health Center
340B ID
CH05758R
Entity Address
7037 S. Stony Island Avenue
Chicago, IL 60649-1905
Grant Number
H80CS00324
Participating Start Date
2/1/2018
Last Recertification Date
2/23/2025
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
2/1/2018
Contract Begin Date
2/1/2018
Carve-In Effective Date
Contract Comments
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
1/31/2018
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