Organization
GLENBROOK HOSPITAL
Active
Parent organization
EVANSTON NORTHWESTERN HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANSTON NORTHWESTERN HEALTHCARE
Authorized official
PAUL EDWARD WEST III P.A. (PHYSICIAN ASSISTANT)
(847) 657-5815
Entity
Organization
Contact information
Practice address
2650 RIDGE AVE, ROOM 1223, EVANSTON, IL 60201-1718
(847) 570-1644
(847) 733-5315
Mailing address
2650 RIDGE AVE, ROOM 1223, EVANSTON, IL 60201-1718
(847) 570-1644
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
085000949
IL
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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