NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI# 1770992448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770992448 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Other Organization Name | NORTHWESTERN MEDICAL GROUP |
| Practice Address |
1475 E Belvidere Rd Suite# 1297 Grayslake IL 60030-2012 |
| Mailing Address |
680 N Lake Shore Dr Suite# 1000 Chicago IL 60611-8709 |
| Practice Telephone | 8472950001 |
| Mailing Telephone | 3126959797 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | MR. JUSTIN A. JOHNSON (VP,CFO) |
| Authorized Official Telephone | 3129261599 |
| Authorized Official Credential | 01041973 |
| 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 |
| 1588063572 | Northwestern Medical Faculty Foundation | Optometrist | 259 E. Erie Street, Suite#02-220, Chicago, IL 60611-2661 | 2014-08-15 |
| 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 |
| 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 |
1475 E BELVIDERE RD SUITE# 1297 |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934211 | Kimberly A Forsey | Pediatrics | 1475 E Belvidere Rd, Suite 315, Grayslake, IL 60030-2012 | 2005-07-05 |
| 1669095089 | Noelle Mack | Social Worker | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2020-05-20 |
| 1336600543 | Ryan Mccabe | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-29 |
| 1942760012 | Temiwumi Ojo | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1851851927 | Joyce Marie Jones-king | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1821558990 | Zahra Qasem | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1013477751 | Elizabeth M Payment | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1720548472 | Laura Zhang | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1437619152 | Clare Dunstan Brady | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1396204525 | Christopher Michael Rivard | Family Medicine | 1475 E Belvidere Rd, Suite 385, Grayslake, IL 60030-2012 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| 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 |
|---|---|---|---|---|
| 1003031030 | Grayslake Eyecare Assoc Ltd | Optometrist | 661 N Lake St, Grayslake, IL 60030-1471 | 2007-04-16 |
| 1477615524 | Carla Marie Iafigliola | Optometrist | 146 Center St, Grayslake, IL 60030-3665 | 2006-12-15 |
| 1356413223 | Kelly Raether | Optometrist | 1475 E Belvidere Rd Ste 1297, Northwestern Ophthalmology Department, Grayslake, IL 60030-2026 | 2006-11-15 |
| 1962492975 | Charlotte Florence Nielsen | Optometrist | 1120 E Washington St, Grayslake, IL 60030-7960 | 2005-10-21 |
| 1760847701 | Myeyedr Optometry of Illinois, LLC | Optometrist | 146 Center St, Ste 200, Grayslake, IL 60030-3665 | 2015-12-17 |
| 1033303169 | Dr. Charlotte F. Nielsen, P.C. | Optometrist | 1120 E Washington St, Grayslake, IL 60030-7960 | 2007-08-31 |
| 1669524054 | Victoria Ann Haynes | Optometrist | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2007-01-17 |
| 1639229776 | Industrial Optical Service, Inc. | Optometrist | 146 Center St, Suite 200, Grayslake, IL 60030-1533 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 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 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
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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.