NPI: 1326042870 · NORTH CHICAGO, IL 60064 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/10/2005
| Authorized Official | JEROME, PATRICK (ASSOCIATE DIRECTOR PHARMACY SERVICE) |
| NPI Enumeration Date | 06/10/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $13K |
| 2019 | 63 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 92 | 84 | $41K |