Organization
NORTHWESTERN SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J STRYKER M.D. (OWNER)
(312) 943-5427
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1525, CHICAGO, IL 60611-2927
(312) 943-5427
(312) 266-0478
Mailing address
PO BOX 421, WINNETKA, IL 60093-0421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036058963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760448096
NPI
—
01
—
214741
MEDICARE GROUP NUMBER
IL
01
—
31601505
BLUE SHIELD
IL
Enumeration date
12/13/2006
Last updated
10/01/2013
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