Organization
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Active
Other names
Northwestern Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL B. COX D.O. (DIRECTOR)
(312) 695-7860
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE# 1000, CHICAGO, IL 60611-4546
(312) 695-9797
(312) 695-0050
Mailing address
1475 E BELVIDERE RD, PAVILION C,SUITE# 385, GRAYSLAKE, IL 60030-2012
(312) 694-1469
(312) 694-0655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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