NPIMap

Organization Active NPI

Northwestern Medical Faculty Foundation

  • Durable Medical Equipment & Medical Supplies
  • Naperville, IL
National Provider Identifier
1992637680
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWESTERN MEDICAL FACULTY FOUNDATION
Practice address
636 Raymond Dr Ste 100
Naperville, IL 60563-9790
Phone
(630) 225-2663
Fax
(630) 225-2399
NPI assigned
May 29, 2026
Organization subpart
Yes
Parent organization
NORTHWESTERN MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Adam Sloane
Title
VP, Finance
Phone
(312) 926-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

636 Raymond Dr Ste 100
Naperville, IL 60563-9790

Mailing address

Dept 5777
Carol Stream, IL 60122

Other names 1

  • NORTHWESTERN MEDICAL GROUP Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0908860Northwestern Medicine Regional Medical Group636 Raymond Dr Ste 300, Naperville, IL 60563Certificate of waiverDec 16, 2027
14D2214915Northwestern Medicine Regional Medical Group636 Raymond Dr - Ste 306, Naperville, IL 60563Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Susan Eysmann MD30 organizations share this tax ID, including this one
Part of
Northwestern Medicine

Other organizations with this tax ID 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1992637680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 5777",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639790",
            "telephone_number": "630-225-2663",
            "fax_number": "630-225-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEDICAL FACULTY FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN MEDICINE",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SLOANE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "312-926-2000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWESTERN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.