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Northwestern Medical Faculty Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Evanston, IL

NPI 1124733019 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1124733019
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Practice address
1704 Maple Ave Ste 200
Evanston, IL 60201-3134
Phone
(847) 535-8500
Fax
(847) 535-6949
NPI assigned
Jan 16, 2023
Organization subpart
Yes
Parent organization (as reported)
NORTHWESTERN MEDICINE

Authorized official

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

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 29

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

View all 29

Practitioners 4,386

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 4,386

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

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

National Provider Directory

Tax ID family
Susan Eysmann MD (30 organizations share this tax ID)
Part of
Northwestern Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QS0010X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1704 Maple Ave Ste 200
Evanston, IL 60201-3134

Mailing address

Dept 5777
Carol Stream, IL 60122

Other names

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

Other providers in Evanston, IL

All providers in Evanston, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.