FORUM EXTENDED CARE SVC INC II
FORUM EXTENDED CARE SVC INC II is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1346291499, based in Chicago, IL. The organization lists 6 taxonomy classifications, with Long Term Care Pharmacy recorded as primary.
Getting there
The practice address on file is 4201 W VICTORIA ST, Chicago, IL 60646. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 054017240 | IL | Long Term Care Pharmacy primary |
| 64001297A | IN | Pharmacy |
| 1204-43 | WI | Institutional Pharmacy |
Licences are recorded in 3 states: IL, IN, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 0143229203
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | O20061219000206 | Part B Supplier - Mass Immunization (roster Biller Only) |
| Illinois | O20100930046245 | Dme Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Illinois, Indiana and Wisconsin. The practice address on file is in Chicago, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 054017240
- Specialty
- Long Term Care Pharmacy
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Long Term Care Pharmacy covers
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NUCC Health Care Provider Taxonomy, code 3336L0003X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | 054017240 | IL | primary |
| 333600000X | Pharmacy | 64001297A | IN | |
| 3336C0004X | Compounding Pharmacy Compounding Pharmacy | — | — | |
| 3336H0001X | Home Infusion Therapy Pharmacy Home Infusion Therapy Pharmacy | — | — | |
| 3336I0012X | Institutional Pharmacy Institutional Pharmacy | 1204-43 | WI | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — | |
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1346291499 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 13, 2006 |
| Last updated | Apr 22, 2021 |
| Status | Active |
| Practice address |
4201 W VICTORIA ST Chicago, IL 60646 (847) 673-8727 Fax (847) 673-6215 |
| Other identifiers |
36855933001
· Medicaid (IL) 33245400 · Medicaid (WI) 2022130 · Other 201063520 A · Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 4 | 6 | 2 | 9 | 1 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 8 | 6 | 4 | 9 | 2 | 4 | 9 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.