Northwestern Memorial Physicians Group

NPI 1093097040 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1093097040
Enumeration Date 09/15/2011
Last Updated 09/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CYNTHIA CYNTHIA
Position VICE PRESIDENT OF OPERATIONS
Phone (312) 926-7028
Fax
Practice Location
1460 N HALSTED ST
SUITE 502
CHICAGO IL, 60642-2605, US
Phone (312) 926-7028
Fax
Business Location
1460 N HALSTED ST
SUITE 502
CHICAGO IL, 60642-2605, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Illinois
License Number 036095919
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According to our database, Northwestern Memorial Physicians Group NPI is 1093097040, taxonomy code is 332900000X and license number is 036095919, license state is located at Illinois. Northwestern Memorial Physicians Group physically located at 1460 N Halsted St, Chicago IL, 60642-2605. NPI Number 1033115704 has the healthcare provider type.

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1093097040 NPI number is provided on an as is basis without warranty of any kind. 1093097040 is maintained by the National Plan & Provider Enumeration System. The contents of Northwestern Memorial Physicians Group are for informational purposes only.