| Northwestern Memorial Healthcare | |
|
385 Wirtz Drive Dekalb IL 60115 | |
| (952) 653-2565 | |
| (952) 653-2540 |
| Full Name | Northwestern Memorial Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 385 Wirtz Drive, Dekalb, Illinois |
| Authorized Official Name and Position | Vernita Jorden (DO) |
| Authorized Official Contact | 3129264843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Memorial Healthcare 385 Wirtz Drive Dekalb IL 60115 Ph: (952) 653-2565 | Northwestern Memorial Healthcare 385 Wirtz Drive Dekalb IL 60115 Ph: (952) 653-2565 |
| NPI Number | 1780155879 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780155879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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