NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES NPI 1053822080

NPI Information

NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES is a student health clinic center in Chicago, IL. NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES NPI is 1053822080. The provider is registered as an organization entity type.

The provider's business location address is:

5500 N SAINT LOUIS AVE RM E-051
CHICAGO, IL
ZIP 60625-625
Phone: (773) 442-5800
Fax: (773) 442-5808

The provider's authorized official is Sharon Kay Heimbaugh .
The authorized official title is Director Of Student Health Services and has the following contact phone number (773) 442-5800.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.

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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