OrganizationActive
Fullerton Drake Medical Center
NPI 1104693845 · Non-Pharmacy Dispensing Site · Chicago, IL
Provider details
- NPI number
- 1104693845
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mark Gerber, President(773) 278-0334
Specialties & taxonomies
Suppliers
Practice location
3518 W Fullerton Ave
Chicago, IL 60647-2418
Phone: (773) 278-0334
Approximate (ZIP-level) locationGet directions
Mailing address
3518 W Fullerton Ave
Chicago, IL 60647-2418
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.