OrganizationActive
Walgreen Co.
NPI 1053050450 · Clinical Medical Laboratory · Chicago, IL
Provider details
- NPI number
- 1053050450
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Kira Taylor, Manager(217) 709-2351
Specialties & taxonomies
Laboratories
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
833 W 115th St
Chicago, IL 60643-4618
Phone: (773) 568-4034
Fax: (773) 568-4217
Street-level locationGet directions
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #9357
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.