Northwestern Memorial Physicians Group

NPI #1093097040 in Chicago, Illinois

Provider Information

NPI Number
1093097040
Entity Type
Organization
Organization Name
Northwestern Memorial Physicians Group
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Sep 15, 2011
Last Updated
Sep 15, 2011

Practice Location

Address
1460 N HALSTED ST
Address 2
SUITE 502
ZIP Code
60642-2605
Phone
(312) 926-7028

Authorized Official

Name
MRS. CYNTHIA KNOLL
Title
VICE PRESIDENT OF OPERATIONS
Phone
(312) 926-6147

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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