Active NPI
Northwestern Orthopaedic Institute, LLC
- Medical Physician Assistant
- Chicago, IL
National Provider Identifier
1306014469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
- Practice address
- 680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546 - Phone
- (312) 664-6848
- Fax
- (312) 475-5624
- NPI assigned
- Feb 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Bowen, M.D.
- Title
- President
- Phone
- (312) 475-5536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546
Mailing address
680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546
Phone (312) 664-6848
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1306014469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-664-6848",
"fax_number": "312-475-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-664-6848",
"fax_number": "312-475-5624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-475-5536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Northwestern Neuropsychology Institute, S.C
- Northwestern Neurosurgical Associates., S.C.
- Northwestern Obstetrics and Gynecology Consultants, LLC
- Northwestern Oral & Maxillofacial Surgeons PC
- Northwestern Orthopaedic Institute
- Northwestern Peak Performance Health Care, LTD
- Northwestern Perinatal Associates, S.C.
- Northwestern Radiology Oncology Assoc
- Northwestern Skin Cancer Institute, LTD
- Northwestern Specialists in Plastic Surgery, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.