NORTHWESTERN MEMORIAL HOSPITAL (NPI# 1407024078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024078 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEMORIAL HOSPITAL |
| Other Organization Name | NORTHESTERN MEMORIAL HOSPITAL |
| Practice Address |
446 Ontario Street 6th Fl Chicago IL 60611 |
| Mailing Address |
251 E Huron St Chicago IL 60611-2908 |
| Practice Telephone | 3129268684 |
| Mailing Telephone | 3129262000 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. PETER J MCCANNA (EXECUTIVE VP OF ADMINISTRATION/CEO) |
| Authorized Official Telephone | 3122962411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
========= | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northestern Memorial Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457604662 | Northwestern Memorial Hospital | General Acute Care Hospital | 250 E Superior St Fl 15, Chicago, IL 60611-2914 | 2012-10-25 |
| 1437315017 | Northwestern Memorial Hospital | Psychiatric Hospital | 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 | 2008-08-01 |
| 1790953669 | Northwestern Memorial Hospital | Clinic/Center | 30 W Chicago Ave, Chicago, IL 60610-4331 | 2008-02-13 |
| 1336354166 | Northwestern Memorial Hospital | General Acute Care Hospital | 675 North Saint St. Clair, Suite 17-200, Chicago, IL 60611 | 2007-05-14 |
| 1699247502 | Northwestern Memorial Hospital | Family Medicine | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2018-12-18 |
| 1255715488 | Northwestern Memorial Hospital | General Acute Care Hospital | 710 N Fairbanks Ct # 7121, Chicago, IL 60611-3013 | 2015-07-17 |
| 1144657131 | Northwestern Memorial Hospital | General Acute Care Hospital | 737 N Michigan Ave, Suite 1600, Chicago, IL 60611-2615 | 2013-10-04 |
| 1902238645 | Northwestern Memorial Hospital | Pharmacy | 251 E Huron St, Feinberg Pavilion 12-738, Chicago, IL 60611-2908 | 2013-08-05 |
| 1760729396 | Northwestern Memorial Hospital | General Acute Care Hospital | 675 N Saint Clair St, Suite 14-100, Chicago, IL 60611-5975 | 2013-01-16 |
| 1598028938 | Northwestern Memorial Hospital | Rehabilitation Hospital | 251 E Huron St, Chicago, IL 60611-2908 | 2012-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWESTERN MEMORIAL HOSPITAL | 541 N Fairbanks Ct, Chicago, IL 60611-2908 |
| Street Address |
446 ONTARIO STREET 6TH FL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
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| 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.