# NORTHWESTERN MEDICAL FACULTY FOUDNATION

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

## Provider details

- **NPI number:** 1235471228
- **Authorized official:** SUSAN E QUAGGIN M.D. (CHIEF, DIVISION ONF NEPHROLOGY)
- **Authorized official phone:** (312) 503-1531

## Contact information

- **Practice address:** 303 E SUPERIOR ST, LURIE 10-109, CHICAGO, IL 60611-3015
- **Practice address phone:** (312) 503-1531
- **Practice address fax:** (312) 503-6262
- **Mailing address:** 303 E SUPERIOR ST, LURIE 10-109, CHICAGO, IL 60611-3015
- **Mailing address phone:** (312) 503-1531
- **Mailing address fax:** (312) 503-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 036131841 | IL | Yes |

## Other

- **Enumeration date:** 03/18/2013
- **Last updated:** 03/18/2013