| Entity Name: | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 27 Jun 2017 |
| Company Number: | CORP_71350401 |
| File Number: | 71350401 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YUEDWSWNNF41 | 2024-11-07 | 1414 CROSS ST, O FALLON, IL, 62269, 2904, USA | 1414 CROSS ST, O FALLON, IL, 62269, 2988, USA | |||||||||||||||||||||||||||||||||||||||||
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| Division Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC. |
| Division Number | WASHINGTON |
| Congressional District | 13 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-11-10 |
| Initial Registration Date | 2020-07-10 |
| Entity Start Date | 2017-06-27 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 621111, 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TERI MEDLEY |
| Address | CAMPUS BOX 1054, ONE BROOKINGS DRIVE, SAINT LOUIS, MO, 63130, 4899, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TERI MEDLEY |
| Address | CAMPUS BOX 1054, ONE BROOKINGS DRIVE, SAINT LOUIS, MO, 63130, 4899, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| SARA L. GEISEN, 1902 MONTVIEW AVE, GODFREY, 62035, MADISON | Agent | 2023-02-17 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054021412 | No data | No data | LICENSED PHARMACY | No data | 2020-01-02 | 2024-01-12 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CHILDREN'S AFTER HOURS | NFP Assume Name | 2021-12-13 | No data | No data | No data |
| WUPI - CANCER CENTER PHARMACY | NFP Assume Name | 2019-09-13 | No data | No data | No data |
| WASHINGTON UNIVERSITY PHYSICIANS | NFP Assume Name | 2018-01-30 | No data | No data | No data |
| WUPI | NFP Assume Name | 2018-01-26 | No data | No data | No data |
Date of last update: 27 Jan 2025
