NORTHWESTERN MEMORIAL HOSPITAL (NPI# 1790953669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790953669 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEMORIAL HOSPITAL |
| Other Organization Name | NORTHWESTERN MEMORIAL HOSPITAL |
| Practice Address |
30 W Chicago Ave Chicago IL 60610-4331 |
| Mailing Address |
251 E Huron St Chicago IL 60611-2908 |
| Practice Telephone | 3129268300 |
| Mailing Telephone | 3129262000 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. PETER J MCCANNA (EXECUTIVE VP OF ADMINISTRATION/CEO) |
| Authorized Official Telephone | 3129262411 |
| 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 |
|---|---|
| Northwestern Memorial Hospital | Doing Business As 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 |
| 1407024078 | Northwestern Memorial Hospital | Clinic/Center | 446 Ontario Street 6th Fl, Chicago, IL 60611 | 2008-02-15 |
| 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 |
30 W CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427205731 | The Thresholds | Community/Behavioral Health | 30 W Chicago Ave, Chicago, IL 60654-3231 | 2008-08-19 |
| 1437312360 | Denny Community Health Center | Clinic/Center | 30 W Chicago Ave, Chicago, IL 60654-3231 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| 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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| 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.