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Organization

NORHWESTERN MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW W SCHMILLEN RD, LDN (CLINICAL NUTRIITON)
(312) 472-1010
Entity
Organization

Contact information

Practice address
710 N FAIRBANKS CT, SUITE 7-121, CHICAGO, IL 60611-3013
(312) 926-7437
Mailing address
710 N FAIRBANKS CT, SUITE 7-121, CHICAGO, IL 60611-3013
(312) 926-7437

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
07/09/2015
Last updated
07/09/2015
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