Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SPORN (PROGRAM DIRECTOR)
(312) 908-8163
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 18-250, CHICAGO, IL 60611-5975
(312) 695-9871
Mailing address
41 E 8TH ST, APT 1804, CHICAGO, IL 60605-2168
(608) 213-5346
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
04/18/2011
Last updated
07/21/2022
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