Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAJOY PURATHUMURIYIL VARGHESE M.D. (RESIDENT)
(847) 413-8367
Entity
Organization
Contact information
Practice address
446 E ONTARIO ST STE 7-200, CHICAGO, IL 60611-4418
(312) 926-8200
Mailing address
4048 W COLUMBIA AVE, LINCOLNWOOD, IL 60712-3502
(847) 679-1284
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
125053871
IL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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