Organization
NORTHWESTERN MEDICAL FACULTY FOUDNATION
Active
Organization
NORTHWESTERN MEDICAL FACULTY FOUDNATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E QUAGGIN M.D. (CHIEF, DIVISION ONF NEPHROLOGY)
(312) 503-1531
Entity
Organization
Contact information
Practice address
303 E SUPERIOR ST, LURIE 10-109, CHICAGO, IL 60611-3015
(312) 503-1531
(312) 503-6262
Mailing address
303 E SUPERIOR ST, LURIE 10-109, CHICAGO, IL 60611-3015
(312) 503-1531
(312) 503-6262
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
036131841
IL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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