Provider Demographics
NPI:1851787741
Name:ABBVIE ENDOCRINOLOGY INC.
Entity Type:Organization
Organization Name:ABBVIE ENDOCRINOLOGY INC.
Other - Org Name:MYABBVIE ASSIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:T
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:847-938-8134
Mailing Address - Street 1:1 N WAUKEGAN RD
Mailing Address - Street 2:AP5 NE
Mailing Address - City:NORTH CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60064-1802
Mailing Address - Country:US
Mailing Address - Phone:888-857-0668
Mailing Address - Fax:847-937-3216
Practice Address - Street 1:1 N WAUKEGAN RD
Practice Address - Street 2:AP5 NE
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-1802
Practice Address - Country:US
Practice Address - Phone:888-857-0668
Practice Address - Fax:847-937-3216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABBVIE ENDOCRINE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-08
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054.0164583336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy