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Organization
NORTHWESTERN MEMORIAL PHYSICIANS GROUP
Active
Organization
NORTHWESTERN MEMORIAL PHYSICIANS GROUP
Active
Other names
NMPG (Secondary)
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KOPIN MD (VICE PRESIDENT)
(312) 926-6146
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 818, CHICAGO, IL 60611-4546
(312) 926-6146
Mailing address
680 N LAKE SHORE DR, SUITE 818, CHICAGO, IL 60611-4546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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