Organization
NORTHWESTERN DEPARTMENT OF NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JEFFERY MOLLER M.D. (CHIEF RESIDENT)
(312) 922-0898
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2210, CHICAGO, IL 60611-2927
(312) 922-0898
Mailing address
676 N SAINT CLAIR ST, SUITE 2210, CHICAGO, IL 60611-2927
(312) 922-0898
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036.121196
IL
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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