Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LARKIN (CREDENTIALS INVESTIGATOR)
(312) 926-8955
Entity
Organization
Contact information
Practice address
250 E SUPERIOR ST FL 15, CHICAGO, IL 60611-2914
(312) 472-3664
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
IL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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