# NORHWESTERN MEDICINE

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

## Provider details

- **NPI number:** 1720461627
- **Authorized official:** MR. ANDREW W SCHMILLEN RD, LDN (CLINICAL NUTRIITON)
- **Authorized official phone:** (312) 472-1010

## Contact information

- **Practice address:** 710 N FAIRBANKS CT, SUITE 7-121, CHICAGO, IL 60611-3013
- **Practice address phone:** (312) 926-7437
- **Mailing address:** 710 N FAIRBANKS CT, SUITE 7-121, CHICAGO, IL 60611-3013
- **Mailing address phone:** (312) 926-7437

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 07/09/2015