NORTHWESTERN MEMORIAL HOSPITAL (NPI# 1699247502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699247502 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEMORIAL HOSPITAL |
| Practice Address |
2701 Patriot Blvd Glenview IL 60026-8039 |
| Practice Telephone | 9526532565 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 9526532565 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | VERNITA JORDEN (ADMINISTRATOR) |
| Authorized Official Telephone | 3129264843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 1407024078 | Northwestern Memorial Hospital | Clinic/Center | 446 Ontario Street 6th Fl, Chicago, IL 60611 | 2008-02-15 |
| 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 |
| 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 |
2701 PATRIOT BLVD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-8039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245215060 | David J Palmer | Ophthalmology | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2005-12-14 |
| 1316590409 | Northwestern Medical Faculty Foundation | Durable Medical Equipment & Medical Supplies | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2019-07-18 |
| 1033696562 | Katie Marie Reidy | Physician Assistant | 2701 Patriot Blvd, Glenview, IL 60026 | 2018-07-27 |
| 1104318666 | Krista Kay Puckett | Nurse Practitioner | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2018-05-31 |
| 1750815924 | Ann Renee Manikas | Physician Assistant | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2017-04-14 |
| 1528599560 | Megan Kosirog | Internal Medicine | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2017-03-22 |
| 1336508175 | Chriselle Sloniker | Registered Nurse | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2016-02-22 |
| 1972980613 | Elena Bryce | Obstetrics & Gynecology | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2015-05-01 |
| 1134515992 | Robyn Wall | Physician Assistant | 2701 Patriot Blvd, #110, Glenview, IL 60026-8039 | 2015-04-08 |
| 1033508817 | Betty Kong | Dermatology | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295180263 | Elite Home Physicians LLC | Family Medicine | 1245 Milwaukee Ave, Ste#300, Glenview, IL 60025-2400 | 2016-04-27 |
| 1871870683 | Chicago Anti-aging and Vein Specialists LLC | Family Medicine | 905 Tamer Ln, Glenview, IL 60025-3768 | 2011-11-08 |
| 1679510812 | Jasmine Chao | Family Medicine | 1308 Waukegan Rd, Suite 202, Glenview, IL 60025-3070 | 2006-05-31 |
| 1043266307 | Leslie Mendoza Temple | Family Medicine | 2400 Chestnut Ave, Suite A, Glenview, IL 60026-8321 | 2006-05-26 |
| 1417935057 | Scott J Meyer | Family Medicine | 2550 Compass Rd Ste C&d, Glenview, IL 60026-1610 | 2006-01-04 |
| 1053392589 | Deborah Elizabeth Miller | Family Medicine | 2050 Pfingsten Rd Ste 200, Glenview, IL 60026 | 2005-11-10 |
| 1417442971 | Gess Suboc | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-27 |
| 1104310325 | Rachael Libertin | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-20 |
| 1033603840 | Taisha Doo | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-15 |
| 1285016410 | Sarah Stombaugh | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2015-06-24 |
| Find all providers in GLENVIEW | ||||
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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.