Organization
NORTHWESTERN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SULLIVAN M.D. (PROGRAM DIRECTOR)
(312) 926-8105
Entity
Organization
Contact information
Practice address
251 E HURON ST # F5-704, CHICAGO, IL 60611-2908
(312) 926-8105
(312) 926-9206
Mailing address
251 E HURON ST # F5-704, CHICAGO, IL 60611-2908
(312) 926-8105
(312) 926-9206
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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