Organization Active NPI

Northwestern Memorial Hospital

  • Psychiatric Hospital
  • Chicago, IL
National Provider Identifier
1437315017
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
125053871 Issued in IL
Legal business name
NORTHWESTERN MEMORIAL HOSPITAL
Practice address
446 E Ontario St Ste 7-200
Chicago, IL 60611-4418
Phone
(312) 926-8200
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Sajoy Purathumuriyil Varghese, M.D.NPI 1902053077
Title
Resident
Phone
(847) 413-8367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 125053871 IL Primary

Addresses

Primary practice location

446 E Ontario St Ste 7-200
Chicago, IL 60611-4418

Mailing address

4048 W Columbia Ave
Lincolnwood, IL 60712-3502
Phone (847) 679-1284

National Provider Directory

National Provider Directory

Locations

446 E Ontario St
Ste 7200
Chicago, IL 60611
Phone (312) 695-5800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1437315017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 W COLUMBIA AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123502",
            "telephone_number": "847-679-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST STE 7-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114418",
            "telephone_number": "312-926-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "SAJOY",
        "authorized_official_middle_name": "PURATHUMURIYIL",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "847-413-8367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IL",
            "license": "125053871",
            "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 Aug 1, 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.