| Northwestern Medical Faculty Foudnation | |
|
303 E Superior St Lurie 10-109 Chicago IL 60611-3015 | |
| (312) 503-1531 | |
| (312) 503-6262 |
| Full Name | Northwestern Medical Faculty Foudnation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 303 E Superior St, Chicago, Illinois |
| Authorized Official Name and Position | Susan E Quaggin (CHIEF, DIVISION ONF NEPHROLOGY) |
| Authorized Official Contact | 3125031531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Faculty Foudnation 303 E Superior St Lurie 10-109 Chicago IL 60611-3015 Ph: (312) 503-1531 | Northwestern Medical Faculty Foudnation 303 E Superior St Lurie 10-109 Chicago IL 60611-3015 Ph: (312) 503-1531 |
| NPI Number | 1235471228 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235471228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 036131841 (Illinois) | Primary |
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