NPIMap

Organization Active NPI

Northwestern McGaw Center for Graduate Medical Education

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1396973350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NORTHWESTERN MCGAW CENTER FOR GRADUATE MEDICAL EDUCATION
Practice address
645 N Michigan Ave
Suite 1058 a
Chicago, IL 60611-2826
Phone
(312) 926-9512
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Nicholas Alexander Borm, M.D.
Title
Resident Physician
Phone
(404) 803-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X IL Primary

Addresses

Primary practice location

645 N Michigan Ave
Suite 1058 a
Chicago, IL 60611-2826

Mailing address

259 E Erie St
Suite 100
Chicago, IL 60611-2930
Phone (312) 926-9512

National Provider Directory

National Provider Directory

Locations

645 N Michigan Ave
Ste 1058
Chicago, IL 60611
Phone (312) 926-9512

259 E Erie St
Ste 100
Chicago, IL 60611
Phone (312) 694-7000

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396973350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112930",
            "telephone_number": "312-926-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE",
            "address_2": "SUITE 1058 A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112826",
            "telephone_number": "312-926-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MCGAW CENTER FOR GRADUATE MEDICAL EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BORM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "404-803-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.