Organization
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Active
Parent organization
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Other names
Northwestern Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Authorized official
RUSSELL B COX (DIRECTOR)
(312) 695-7860
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
5777 DEPT, CAROL STREAM, IL 60122-5777
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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