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Organization
NORTHWESTERN MEMORIAL HEALTHCARE
Active
Organization
NORTHWESTERN MEMORIAL HEALTHCARE
Active
Other names
Northwestern Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAH BOYD MPH (MANAGED CARE SPECIALIST)
(312) 926-6354
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-1192
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-1192
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
164005630
IL
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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