# NORTHWESTERN ORTHOPAEDIC INSTITUTE

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

## Provider details

- **NPI number:** 1649469099
- **Authorized official:** DIANA LYNN YATES CPC CPC-H CPC-I CPED (BILLING MANAGER)
- **Authorized official phone:** (312) 475-5628

## Contact information

- **Practice address:** 680 N LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL 60611
- **Practice address phone:** (312) 475-5628
- **Mailing address:** 680 N LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL 60611
- **Mailing address phone:** (312) 664-6848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 36-053824 | IL | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 11/04/2010