Organization
EVANSTON NORTHWESTERN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELA MARIA MENICHELLA MD. (RESIDENT)
(847) 251-1098
Entity
Organization
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(857) 570-2200
Mailing address
107 CENTRAL PARK AVE, WILMETTE, IL 60091-3201
(847) 251-1098
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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