NPIMap

Organization Active NPI

McGaw Medical Center of Northwestern University

  • Student Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1043630098
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY
Practice address
240 E. Huron Street,
McGaw Pavilion, Sutie 1-200
Chicago, IL 60611
Phone
(312) 503-7975
Fax
(312) 503-5230
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne Dudek
Title
Office of Graduate Medical Educatio
Phone
(312) 503-7975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

240 E. Huron Street,
McGaw Pavilion, Sutie 1-200
Chicago, IL 60611

Mailing address

240 E. Huron Street,
McGaw Pavilion, Sutie 1-200
Chicago, IL 60611
Phone (312) 503-7975

National Provider Directory

National Provider Directory
Tax ID family
McGaw Medical Center of Northwestern University7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 E Huron St
Ste 1200
Chicago, IL 60611
Phone (312) 502-7975

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1043630098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E. HURON STREET,",
            "address_2": "MCGAW PAVILION, SUTIE 1-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-503-7975",
            "fax_number": "312-503-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E. HURON STREET,",
            "address_2": "MCGAW PAVILION, SUTIE 1-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-503-7975",
            "fax_number": "312-503-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "DUDEK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE OF GRADUATE MEDICAL EDUCATIO",
        "authorized_official_telephone_number": "312-503-7975"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.