NORTHWESTERN MEMORIAL HEALTHCARE (NPI# 1942690672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942690672 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEMORIAL HEALTHCARE |
| Practice Address |
1030 N Wolcott Ave Chicago IL 60622-5986 |
| Practice Telephone | 8474713513 |
| Mailing Telephone | 8474713513 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | MS. KELLY JO NELSON (NURSE PRACTITONER) |
| Authorized Official Telephone | 8474713513 |
| Authorized Official Credential | BSN, MSN, FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
209012197 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003396110 | Northwestern Memorial Healthcare | Pharmacy | 171 N Aberdeen St, Chicago, IL 60607-1669 | 2018-08-17 |
| 1780155879 | Northwestern Memorial Healthcare | Family Medicine | 385 Wirtz Drive, Dekalb, IL 60115 | 2018-12-16 |
| 1407381197 | Northwestern Memorial Healthcare | Clinic/Center | 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975 | 2017-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Northwestern Memorial HealthCare | 541 N. Fairbanks Court, Room 1630, Chicago, IL 60611 |
| Street Address |
1030 N WOLCOTT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-5986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1215302971 | Medspring of Texas, Pa | Clinic/Center | 779 Adams, Chicago, IL 60661-0000 | 2015-12-07 |
| 1255722120 | Medspring of Texas, Pa | Clinic/Center | 3301 N Ashland Ave, Chicago, IL 60657-2127 | 2015-02-12 |
| 1376941849 | Medspring of Texas, Pa | Clinic/Center | 219 W Chicago Ave, Chicago, IL 60654-5600 | 2014-12-15 |
| 1790030385 | Hometown Urgent Care of Michigan, P.C. | Clinic/Center | 7483 Solutions Ctr, Chicago, IL 60677-7004 | 2012-07-19 |
| 1811256043 | Immediate M.d., LLC | Clinic/Center | 2037 N Clybourn Ave, Chicago, IL 60614-4003 | 2012-05-08 |
| 1003084112 | South Loop Urgent Care, LLC | Clinic/Center | 1430 S Michigan Ave, C2, Chicago, IL 60605-2960 | 2008-02-12 |
| 1316136955 | American Current Care of Illinois PC | Clinic/Center | 1230 West Lake Street, Chicago, IL 60607-1602 | 2007-10-19 |
| 1285823856 | American Current Care Pa | Clinic/Center | 4201 West 36th Street, Chicago, IL 60632-3800 | 2007-10-19 |
| 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.