# NORTHWESTERN MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1649573312
- **Authorized official:** DR. JOHN SULLIVAN M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (312) 926-8105

## Contact information

- **Practice address:** 251 E HURON ST \# F5-704, CHICAGO, IL 60611-2908
- **Practice address phone:** (312) 926-8105
- **Practice address fax:** (312) 926-9206
- **Mailing address:** 251 E HURON ST \# F5-704, CHICAGO, IL 60611-2908
- **Mailing address phone:** (312) 926-8105
- **Mailing address fax:** (312) 926-9206

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 12/17/2010