NORTHWESTERN MEDICAL FACULTY FOUNDATION


Address: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546
Phone: 3126959797

NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI# 1346235314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346235314
Entity Type Organization
Organization Name NORTHWESTERN MEDICAL FACULTY FOUNDATION
Other Organization Name NORTHWESTERN MEDICAL GROUP
Practice Address 680 N Lake Shore Dr
Suite 1000
Chicago
IL 60611-4546
Practice Telephone 3126959797
Practice Fax Number 3126956680
Mailing Telephone 3126959797
Mailing Fax Number 3126956680
Enumeration Date 2005-09-15
Last Update Date 2016-03-03
Authorized Official Name MR. RUSSELL B. COX (DIRECTOR-DELEGATED OFFICIAL.)
Authorized Official Telephone 3126957860
Is Organization Subpart Y
Parent Organization Name NORTHWESTERN MEMORIAL HEALTHCARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Northwestern Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912516659 Northwestern Medical Faculty Foundation Optometrist 2701 Patriot Blvd Fl 2, Glenview, IL 60026-8039 2020-07-29
1588063572 Northwestern Medical Faculty Foundation Optometrist 259 E. Erie Street, Suite#02-220, Chicago, IL 60611-2661 2014-08-15
1497308340 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 675 N Saint Clair St Ste 20-150, Chicago, IL 60611-5979 2019-07-19
1316590409 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 2701 Patriot Blvd, Glenview, IL 60026-8039 2019-07-18
1467005520 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1671 2019-07-18
1801335690 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 675 N Saint Clair St, Suite 15-200, Chicago, IL 60611-5975 2017-02-14
1518324961 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 680 N Lake Shore Dr, Suite# 1000, Chicago, IL 60611-4546 2016-01-15
1770992448 Northwestern Medical Faculty Foundation Optometrist 1475 E Belvidere Rd, Suite# 1297, Grayslake, IL 60030-2012 2014-08-07
1063821916 Northwestern Medical Faculty Foundation Optometrist 900 N Westmoreland Rd, Lower Level 88, Lake Forest, IL 60045-1674 2014-08-05
1376961524 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 259 E Erie St, Suite 2300, Chicago, IL 60611-2987 2014-04-04

Office Location

Street Address 680 N LAKE SHORE DR
SUITE 1000
City CHICAGO
State IL
Zip Code 60611-4546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427052885 Jeanette A. Dubay-mcdermit Nurse Anesthetist, Certified Registered 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 2005-06-13
1023621406 Akshar Patel Student in an Organized Health Care Education/Training Program 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 2020-08-26
1952873267 Kimberly Sumislawski Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-12-27
1598251571 Asia Giammarco Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-07-02
1497253256 Samantha M C Tan Nurse Practitioner 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-01-26
1871040642 Kathleen Dady Genetic Counselor, MS 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 2016-09-08
1205382496 Rachel Green Dunn Nurse Practitioner 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 2016-08-29
1730634791 Kelly Elizabeth Smyth Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611 2016-08-19
1982158036 Patricia Gale, Md, S.c. Clinic/Center 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 2016-08-06
1013460930 Julia Goldin Registered Nurse 680 N Lake Shore Dr, Chicago, IL 60611-4546 2016-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1104460922 Infinite Care Home Physicians LLC Clinic/Center 6044 N Nassau Ave, Chicago, IL 60631-2649 2019-11-05
1962051607 Wilkes Post Acute Care Inc Clinic/Center 400 W 76th St Ste 303, Chicago, IL 60620-1640 2019-09-05
1861964959 Midway Medical Clinic/Center 2 W 103rd St, Chicago, IL 60628-2619 2018-12-30
1043727571 The Board of Trustees of The University of Illinois Clinic/Center 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 2018-01-05
1386099562 Healthworks Medical Group of Illinois S C Clinic/Center Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 2016-04-26
1235584475 Healthworks Medical Group of Illinois S C Clinic/Center Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 2016-04-25
1689904039 Prime Care Medical and Physical Therapy Centers, S.c. Clinic/Center 1719 W 18th St, Chicago, IL 60608-1913 2010-01-07
1790938249 Healing Hands Resource Center Clinic/Center 3143 W Douglas Blvd, Chicago, IL 60623-1816 2008-10-28
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Competitor

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City CHICAGO
Zip Code 60611

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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