# NORTHWESTERN MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215162409
- **Authorized official:** MR. JONATHAN UEBELHOR APN (NURSE PRACTITIONER)
- **Authorized official phone:** (207) 232-9807

## Contact information

- **Practice address:** 251 E. HURON ST., CHICAGO, IL 60611
- **Practice address phone:** (312) 472-4218
- **Mailing address:** 3237 N RACINE AVE APT 2F, CHICAGO, IL 60657-9303
- **Mailing address phone:** (207) 232-9708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 209007567 | IL | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009