Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN ELYSE BERANEK RD, LDN, CNSC (CLINICAL DIETITIAN)
(312) 926-7437
Entity
Organization
Contact information
Practice address
710 N FAIRBANKS CT # 7121, CHICAGO, IL 60611-3013
(312) 926-2000
Mailing address
710 N FAIRBANKS CT # 7121, CHICAGO, IL 60611-3013
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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