# NORTHWESTERN MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1457604662
- **Authorized official:** DEBORAH LARKIN (CREDENTIALS INVESTIGATOR)
- **Authorized official phone:** (312) 926-8955

## Contact information

- **Practice address:** 250 E SUPERIOR ST FL 15, CHICAGO, IL 60611-2914
- **Practice address phone:** (312) 472-3664
- **Mailing address:** 251 E HURON ST, CHICAGO, IL 60611-2908

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 10/25/2012