| Northwestern Medical Faculty Foundation | |
|
446 E Ontario St Chicago IL 60611-4418 | |
| (312) 695-2172 | |
| Not Available |
| Full Name | Northwestern Medical Faculty Foundation |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 446 E Ontario St, Chicago, Illinois |
| Authorized Official Name and Position | Virginia Lewis (PRACTICE MANAGER) |
| Authorized Official Contact | 3126952172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Faculty Foundation 446 E Ontario St Chicago IL 60611-4418 Ph: () - | Northwestern Medical Faculty Foundation 446 E Ontario St Chicago IL 60611-4418 Ph: (312) 695-2172 |
| NPI Number | 1154679223 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154679223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 209.009740 (Illinois) | Primary |
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