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NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI 1346235314


NPI Information

NPI: 1346235314
Provider Name: NORTHWESTERN MEDICAL FACULTY FOUNDATION

Doing Business As: NORTHWESTERN MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
680 N LAKE SHORE DR
SUITE 1000
CHICAGO, IL
ZIP 60611
Phone: (312) 695-9797
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NORTHWESTERN MEDICAL FACULTY FOUNDATION is a multi-specialty clinic center in Chicago, IL. NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI is 1346235314. 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:

680 N LAKE SHORE DR
SUITE 1000
CHICAGO, IL
ZIP 60611-546
Phone: (312) 695-9797
Fax: (312) 695-6680

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

The enumeration date for this NPI number is 9/15/2005 and was last updated on 3/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1522623MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2522620MEDICARE ID-TYPE UNSPECIFIEDILLINOISOUR MAIN MEDICARE GROUP #
3720150MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4961460MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5799310MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/14/2023

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