Northwestern Department of Neurosurgery

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

036.121196 Issued in IL

Legal business name

NORTHWESTERN DEPARTMENT OF NEUROSURGERY

Practice address

676 N Saint Clair St
Suite 2210
Chicago, IL 60611-2927

Phone

(312) 922-0898

NPI assigned

Aug 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Jeffery Moller, M.D.

Title

Chief Resident

Phone

(312) 922-0898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218240000000",
    "number": "1336395342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 2210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-922-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 2210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-922-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN DEPARTMENT OF NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-08-09",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIEF RESIDENT",
        "authorized_official_telephone_number": "312-922-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "036.121196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwestern Assoc in Aesthetic Plastic & Craniofacial Surgery SC
• Northwestern Breast Surgeons, LTD.
• Northwestern Cardiology & Internal Medicine SC
• Northwestern Dental Center
• Northwestern Dental Clinic LTD
• Northwestern Health Care
• Northwestern Internists, LTD
• Northwestern Laser Vision, LLC
• Northwestern McGaw Center for Graduate Medical Education
• Northwestern McGaw Family Medicine Residency

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.