NORTHWESTERN MEMORIAL PHYSICIANS GROUP NPI 1093097040

NPI Information

NORTHWESTERN MEMORIAL PHYSICIANS GROUP is a non pharmacy dispensing site in Chicago, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) NORTHWESTERN MEMORIAL PHYSICIANS GROUP NPI is 1093097040. The provider is registered as an organization entity type.

The provider's business location address is:

1460 N HALSTED ST
SUITE 502
CHICAGO, IL
ZIP 60642-605
Phone: (312) 926-7028

The provider's authorized official is Cynthia Knoll .
The authorized official title is Vice President Of Operations and has the following contact phone number (312) 926-6147.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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