# NORTHWESTERN MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1356631824
- **Authorized official:** PETER SPORN (PROGRAM DIRECTOR)
- **Authorized official phone:** (312) 908-8163

## Contact information

- **Practice address:** 675 N SAINT CLAIR ST, SUITE 18-250, CHICAGO, IL 60611-5975
- **Practice address phone:** (312) 695-9871
- **Mailing address:** 41 E 8TH ST, APT 1804, CHICAGO, IL 60605-2168
- **Mailing address phone:** (608) 213-5346

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2011
- **Last updated:** 07/21/2022