NPIMap

Organization Active NPI

Evanston Northwestern Hospital

  • General Acute Care Hospital
  • Evanston, IL
National Provider Identifier
1265600886
Registry record updated Feb 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EVANSTON NORTHWESTERN HOSPITAL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1718
Phone
(857) 570-2200
NPI assigned
Feb 17, 2008
Last updated
Feb 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2008

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

Authorized official

Name
Dr. Daniela Maria Menichella, MD.
Title
Resident
Phone
(847) 251-1098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Mailing address

107 Central Park Ave
Wilmette, IL 60091-3201
Phone (847) 251-1098

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.

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203206400000",
    "number": "1265600886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CENTRAL PARK AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913201",
            "telephone_number": "847-251-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "857-570-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON NORTHWESTERN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2008-02-17",
        "status": "A",
        "authorized_official_last_name": "MENICHELLA",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "847-251-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2008; 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.