NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI 1518324961

NPI Information

NORTHWESTERN MEDICAL FACULTY FOUNDATION is a durable medical equipment medical supplies in Chicago, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHWESTERN MEDICAL FACULTY FOUNDATION NPI is 1518324961. 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) 695-0050

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 14D1024227 - ancillary test site with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.

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:

Other Identifiers

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