Organization
UCHICAGO MEDICINE NORTHWEST INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FOUNTAIN (VP REVENUE CYCLE)
(773) 834-5895
Entity
Organization
Contact information
Practice address
10855 VIRGINIA ST STE 1200, CROWN POINT, IN 46307-0210
(999) 999-9999
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 795-7807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
01/23/2025
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