NPIMap

Organization Active NPI

Northwestern Medical Faculty Foundation

Doing business as Northwestern Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Evanston, IL
National Provider Identifier
1124733019
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Doing business as
Northwestern Medical Group
Practice address
1704 Maple Ave Ste 200
Evanston, IL 60201-3134
Phone
(847) 535-8500
Fax
(847) 535-6949
NPI assigned
Jan 16, 2023
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWESTERN MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Sabina Strzeminska
Title
Director
Phone
(312) 695-0646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Sports Medicine (Family Medicine) Physician 207QS0010X

Addresses

Primary practice location

1704 Maple Ave Ste 200
Evanston, IL 60201-3134

Mailing address

Dept 5777
Carol Stream, IL 60122

Other names 2

  • NORTHWESTERN MEDICAL GROUP Doing business as
  • NMG SPORTS MEDICINE AND ORTHO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230310001579 IL DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports Medicine 4587576814 Practice locations: Evanston, IL

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
NMFF Cardiac Consultant30 organizations share this tax ID, including this one
Part of
Northwestern Medicine

Other organizations with this tax ID 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1124733019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 5777",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MAPLE AVE STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013134",
            "telephone_number": "847-535-8500",
            "fax_number": "847-535-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEDICAL FACULTY FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN MEDICINE",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "STRZEMINSKA",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-695-0646"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWESTERN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMG SPORTS MEDICINE AND ORTHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.