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Northwestern Medical Faculty Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Chicago, IL

NPI 1801335690 · NPPES record last updated Feb 22, 2017

Key facts

NPI
1801335690
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Practice address
675 N Saint Clair St
Suite 15-200
Chicago, IL 60611-5975
Phone
(312) 695-8182
Fax
(312) 695-4303
NPI assigned
Feb 14, 2017
Organization subpart
Yes
Parent organization (as reported)
NORTHWESTERN MEDICAL GROUP

Authorized official

Name
Mr. Russell B Cox
Title
Director
Phone
(312) 695-7860

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners 4,386

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

View all 4,386

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170420000681 IL DME Supplier - Multi-Specialty - Physician 4587576814 Practice locations: Chicago, IL

National Provider Directory

Tax ID family
Susan Eysmann MD (30 organizations share this tax ID)
Part of
Susan Eysmann MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

675 N Saint Clair St
Suite 15-200
Chicago, IL 60611-5975

Mailing address

680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Phone (312) 695-9797

Other names

  • NMG Otolaryngology Head And Neck Surgery Other name

Other providers in Chicago, IL

All providers in Chicago, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.