Organization
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Active
Parent organization
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Other names
Northwestern Medical Group/NM Pimary & Specvialty Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Authorized official
MR. RUSSELL B. COX DIRECTOR (DELEGATED OFFICIAL)
(312) 695-7860
Entity
Organization
Contact information
Practice address
259 E ERIE ST, SUITE 2300, CHICAGO, IL 60611-2987
(312) 926-6101
(312) 926-6332
Mailing address
680 N LAKE SHORE DR, SUITE #1000, CHICAGO, IL 60611-4546
(312) 695-0665
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
01/23/2017
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