NORTHWESTERN ORTHOPAEDIC INSTITUTE LLC NPI 1306014469

NPI Information

NPI: 1306014469
Provider Name: NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
680 N LAKE SHORE DR
SUITE 1028
CHICAGO, IL
ZIP 60611
Phone: (312) 664-6848
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NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC is a medical physician assistant in Chicago, IL. NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC NPI is 1306014469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 1028
CHICAGO, IL
ZIP 60611-546
Phone: (312) 664-6848
Fax: (312) 475-5624

The provider's authorized official is Mark Bowen .
The authorized official title is President and has the following contact phone number (312) 475-5536.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/12/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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