NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI 1740934231

NPI Information

NORTHWESTERN MEDICAL FACULTY FOUNDATION is a student health clinic center in Evanston, IL. NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI is 1740934231. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Medical Group.

The provider's business location address is:

633 EMERSON ST
EVANSTON, IL
ZIP 60208-844
Phone: (847) 491-8100
Fax: (847) 491-5919

The provider's authorized official is Russell B Cox .
The authorized official title is Director and has the following contact phone number (312) 695-7860.

The CLIA number assigned to this NPI record is 14D0873149 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/4/2022 and was last updated on 6/3/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.