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AURORA SPECIALTY PHARMACY
DSH140182 ADVOCATE NORTH SIDE HEALTH NETWORK
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Covered Entity Details
Entity Name
ADVOCATE NORTH SIDE HEALTH NETWORK
Subdivision Name
DBA ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (AIMMC)
Type
Disproportionate Share Hospital
340B ID
DSH140182
Entity Address
836 West Wellington Ave.
CHICAGO, IL 60657
Medicare Provider Number
140182
Participating Start Date
10/27/2005
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
AURORA SPECIALTY PHARMACY
Pharmacy Address
N93W14575 WHITTAKER WAY
MENOMONEE FALLS, WI 53051-1652
Pharmacy Comments
Contract Details
Approval Date
4/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Forslev, Chief Pharmacy Officer
(630) 929-5934
Contract Pharmacy Representative
Aurora Health Care
Angela De Ianni, Director, Pharmacy Supply Chain
(414) 382-1854
Signed By Date
4/10/2018
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