Organization
NORTHWESTERN MEMORIAL HEALTHCARE
Active
Other names
Northwestern Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAH BOYD MPH (MANAGED CARE SPECIALIST)
(312) 926-6354
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-1192
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-1192
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
164005630
IL
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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