NORTHWESTERN MEMORIAL HEALTHCARE


Address: 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975
Phone: 3126951192

NORTHWESTERN MEMORIAL HEALTHCARE (NPI# 1407381197) 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) 1407381197
Entity Type Organization
Organization Name NORTHWESTERN MEMORIAL HEALTHCARE
Other Organization Name NORTHWESTERN MEMORIAL HOSPITAL
Practice Address 675 N Saint Clair St
Suite 21-100
Chicago
IL 60611-5975
Practice Telephone 3126951192
Practice Fax Number 3126951106
Mailing Telephone 3126951192
Mailing Fax Number 3126951106
Enumeration Date 2017-05-01
Last Update Date 2017-05-01
Authorized Official Name LATIFAH BOYD (MANAGED CARE SPECIALIST)
Authorized Official Telephone 3129266354
Authorized Official Credential MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0200X Clinic/Center
Specialization: Oncology
164005630 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Northwestern Memorial Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003396110 Northwestern Memorial Healthcare Pharmacy 171 N Aberdeen St, Chicago, IL 60607-1669 2018-08-17
1942690672 Northwestern Memorial Healthcare Clinic/Center 1030 N Wolcott Ave, Chicago, IL 60622-5986 2015-02-03
1780155879 Northwestern Memorial Healthcare Family Medicine 385 Wirtz Drive, Dekalb, IL 60115 2018-12-16

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Northwestern Memorial HealthCare 541 N. Fairbanks Court, Room 1630, Chicago, IL 60611

Office Location

Street Address 675 N SAINT CLAIR ST
SUITE 21-100
City CHICAGO
State IL
Zip Code 60611-5975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459099 Dana Rigsby Gossett Obstetrics & Gynecology 675 N Saint Clair St, Galter 14-200, Chicago, IL 60611-5975 2005-06-28
1679180921 Mary Grace Kaleta Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2020-09-29
1790313955 Jill Christine Maseman Registered Nurse 675 N Saint Clair St, Chicago, IL 60611-5975 2020-03-31
1487291092 Jacqueline Andrea Savinon Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2019-12-02
1518527589 Monet Danielle Welton Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2019-06-20
1598245532 Catherine Cassingham Social Worker 675 N Saint Clair St, Chicago, IL 60611-5975 2018-08-20
1831677145 Caroline Lee Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2018-07-30
1942796982 Lindsay Victoria Brown Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2018-07-02
1437647989 Margarita Mana-ay Nurse Practitioner 675 N Saint Clair St, Chicago, IL 60611-5975 2018-04-30
1447762018 Melissa Minh Nguyet Truong Physician Assistant 675 N Saint Clair St, 15th Floor, Suite 200, Chicago, IL 60611-5975 2017-11-03
Find all providers in the same location

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 261QX0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609301753 Robert H. Lurie Comprehensive Cancer Center of Northwestern University Clinic/Center 250 E Superior St, Suite 520, Chicago, IL 60611-2914 2017-04-26
1366815250 Windy City Pediatrics Clinic/Center 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 2015-11-02
1396148011 Rush University Medical Center Clinic/Center 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 2014-10-08
1538317458 Andrea Karoff Clinic/Center 901 W Wellington Ave, Chicago, IL 60657-6708 2008-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588016851 Dupage Medical Group Clinic/Center 17495 La Grange Rd, Tinley Park, IL 60487-7581 2016-07-11
1659721983 Monica Anderson Clinic/Center 12004 S Route 59, Plainfield, IL 60585-5108 2016-06-17
1396019923 Advanced Cancer Research, Ltd Clinic/Center 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 2012-02-29
1205164084 Northwest Suburban Oncology and Hematology Associates S.c Clinic/Center 661 Ridgeview Dr, Mchenry, IL 60050-7012 2009-12-06
1023293776 University Hematology Oncology Inc Clinic/Center 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 2007-12-31
1477740447 University Hematology Oncology Group Inc Clinic/Center 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2355 2007-10-03
1548476971 Midwest Physician Group Ltd. Clinic/Center 3900 W 203rd St, Olympia Fields, IL 60461-1183 2007-05-15
1699893248 Sarah Bush Lincoln Health Center Clinic/Center 1000 Health Center Dr, Mattoon, IL 61938-9253 2007-03-26
1528107794 North Shore Infusion Ltd Clinic/Center 1800 Sherman Ave, Ste 350, Evanston, IL 60201-3777 2007-02-05

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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