NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI# 1588063572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588063572 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Other Organization Name | NORTHWESTERN MEDICAL GROUP |
| Practice Address |
259 E. Erie Street Suite#02-220 Chicago IL 60611-2661 |
| Mailing Address |
680 N Lake Shore Dr Suite#1000 Chicago IL 60611-4546 |
| Practice Telephone | 3126958150 |
| Mailing Telephone | 3126959797 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | MR. JUSTIN A. JOHNSON (VP, CFO) |
| Authorized Official Telephone | 3129261599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Northwestern Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516659 | Northwestern Medical Faculty Foundation | Optometrist | 2701 Patriot Blvd Fl 2, Glenview, IL 60026-8039 | 2020-07-29 |
| 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 |
| 1912321621 | Northwestern Medical Faculty Foundation | Durable Medical Equipment & Medical Supplies | 737 N Michigan Ave, Suite#700, Chicago, IL 60611-2615 | 2014-02-17 |
| Street Address |
259 E. ERIE STREET SUITE#02-220 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366976300 | Allyson Kaye Fritts | Physician Assistant | 259 E. Erie Street, Chicago, IL 60611-1912 | 2017-04-17 |
| 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 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
| 1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
| Find all providers in CHICAGO | ||||
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| 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.