# NORTHWESTERN MEDICINE

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

## Provider details

- **NPI number:** 1649668401
- **Authorized official:** ROBERT BRADY (MASSAGE THERAPIST)
- **Authorized official phone:** (773) 727-8606

## Contact information

- **Practice address:** 150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
- **Practice address phone:** (312) 926-8400
- **Mailing address:** 150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
- **Mailing address phone:** (312) 926-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 227008013 | IL | Yes |

## Other

- **Enumeration date:** 01/02/2015
- **Last updated:** 01/02/2015