Provider Demographics
NPI:1447260542
Name:INSIGHT CHICAGO, INC.
Entity type:Organization
Organization Name:INSIGHT CHICAGO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-275-9333
Mailing Address - Street 1:2525 S MICHIGAN AVE
Mailing Address - Street 2:OP PHARMACY / 1ST FLR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2333
Mailing Address - Country:US
Mailing Address - Phone:312-567-2050
Mailing Address - Fax:312-567-6073
Practice Address - Street 1:2525 S MICHIGAN AVE
Practice Address - Street 2:OP PHARMACY / 1ST FLR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2333
Practice Address - Country:US
Practice Address - Phone:312-567-2050
Practice Address - Fax:312-567-6073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL054013860OtherLICENSE #
IL363720708OtherTIN
IL363720708OtherTIN
IL363720708OtherTIN