| Northwestern Medical Group | |
|
251 E Huron St Chicago IL 60611-2908 | |
| (312) 926-2000 | |
| Not Available |
| Full Name | Northwestern Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 251 E Huron St, Chicago, Illinois |
| Authorized Official Name and Position | Sabina Strzeminska (DIRECTOR) |
| Authorized Official Contact | 3129262000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Group Dept 5777 Carol Stream IL 60122 Ph: () - | Northwestern Medical Group 251 E Huron St Chicago IL 60611-2908 Ph: (312) 926-2000 |
| NPI Number | 1346235314 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 4587576814 |
|---|---|
| Medicare Enrollment ID | O20031104000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346235314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | John E Franklin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487686408 PECOS PAC ID: 4082706429 Enrollment ID: I20070815000521 |
| Provider Name | Benjamin P Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285740043 PECOS PAC ID: 3476629809 Enrollment ID: I20080908000518 |
| Provider Name | Patricia M Mengoni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639102452 PECOS PAC ID: 4789715194 Enrollment ID: I20100629000619 |
| Provider Name | Pedro L Dago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689637639 PECOS PAC ID: 1355473463 Enrollment ID: I20100723000902 |
| Provider Name | Richard A Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881657427 PECOS PAC ID: 2961526074 Enrollment ID: I20100826000335 |
| Provider Name | Sonya P Agnew |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962640250 PECOS PAC ID: 7517112774 Enrollment ID: I20130220000123 |
| Provider Name | Renee Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014650 PECOS PAC ID: 8123273034 Enrollment ID: I20130226000411 |
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