Organization
NORTHWEST COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B ZENN (EXECUTIVE VICE PRESIDENT)
(847) 618-5017
Entity
Organization
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
(847) 618-5009
Mailing address
3060 W SALT CREEK LN, SUITE 110, ARLINGTON HEIGHTS, IL 60005-5026
(847) 618-4604
(847) 618-4630
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0001701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619001
BLUE SHIELD
IL
Enumeration date
07/25/2007
Last updated
08/22/2020
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