# EVANSTON NORTHWESTERN HOSPITAL

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

## Provider details

- **NPI number:** 1265600886
- **Authorized official:** DR. DANIELA MARIA MENICHELLA MD. (RESIDENT)
- **Authorized official phone:** (847) 251-1098

## Contact information

- **Practice address:** 2650 RIDGE AVE, EVANSTON, IL 60201-1718
- **Practice address phone:** (857) 570-2200
- **Mailing address:** 107 CENTRAL PARK AVE, WILMETTE, IL 60091-3201
- **Mailing address phone:** (847) 251-1098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2008
- **Last updated:** 02/17/2008