Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN UEBELHOR APN (NURSE PRACTITIONER)
(207) 232-9807
Entity
Organization
Contact information
Practice address
251 E. HURON ST., CHICAGO, IL 60611
(312) 472-4218
Mailing address
3237 N RACINE AVE APT 2F, CHICAGO, IL 60657-9303
(207) 232-9708
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209007567
IL
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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