NORTHWESTERN MEMORIAL HOSPITAL NPI 1407024078

NPI Information

NPI: 1407024078
Provider Name: NORTHWESTERN MEMORIAL HOSPITAL

Former Legal Business Name: NORTHESTERN MEMORIAL HOSPITAL

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
446 ONTARIO STREET 6TH FL
CHICAGO, IL
ZIP 60611
Phone: (312) 926-8684
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NORTHWESTERN MEMORIAL HOSPITAL is a mental health (including community mental health center) clinic center in Chicago, IL. NORTHWESTERN MEMORIAL HOSPITAL NPI is 1407024078. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northestern Memorial Hospital.

The provider's business location address is:

446 ONTARIO STREET 6TH FL
CHICAGO, IL
ZIP 60611
Phone: (312) 926-8684

The provider's authorized official is Peter J Mccanna .
The authorized official title is Executive Vp Of Administration/ceo and has the following contact phone number (312) 296-2411.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 11/5/2008.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	=========	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14S281	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
2	=========009	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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