Walgreen Co

Pharmacy · Oak Lawn, IL

Organization Active NPI

NPI number 1609881820

Practice location

10639 S Cicero Ave
Oak Lawn, IL 60453-5269
Phone
(708) 424-3594

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NPI record

NPI
1609881820
Entity type
Organization (Type 2)
Enumeration date
July 29, 2006
Last updated
September 8, 2025
Certified
September 8, 2025
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 54008711 IL
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4515
Phone
(847) 527-2489
Fax
(217) 709-2344

Authorized official

Name
Jennifer Ponce
Title
Manager
Phone
(847) 527-2489

Other names

  • Walgreens #01504
  • Walgreens #01504

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 10639 S Cicero Ave, Oak Lawn, IL 60453-5269. The NPI number 1609881820 was assigned on July 29, 2006 and the record was last updated on September 8, 2025.

Walgreen Co lists a license in the registry: #54008711 (IL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jennifer Ponce, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1609881820.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (708) 424-3594.

Where is Walgreen Co located?

10639 S Cicero Ave, Oak Lawn, IL 60453-5269.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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