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Walgreen Co — NPI 1114104908, Chicago, IL | NPI Central

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NPI 1114104908

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Walgreen Co

NPI 1114104908 · Pharmacy · Chicago, IL

Provider details

NPI number: 1114104908
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Walgreens Boots Alliance Inc
Organization subpart: Yes
Authorized official: Jennifer Ponce, Manager(847) 527-2489

Specialties & taxonomies

PharmacyPrimary333600000XLicense 054016422 (IL)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

5158 N Lincoln Ave

Chicago, IL 60625-2521

Phone: (773) 907-8490

Fax: (773) 907-8593

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4515

Other names (DBA / former)

Doing business as: Walgreens #12150
Doing business as: Walgreens #12150

Registry dates

Enumerated: 2008-01-24
Last updated: 2025-10-21
Certified: 2025-10-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.