Healthcare Provider Details

I. General information

NPI: 1346235314
Provider Name (Legal Business Name): NORTHWESTERN MEDICAL FACULTY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT 5777
CAROL STREAM IL
60122
US

IV. Provider business mailing address

DEPT 5777
CAROL STREAM IL
60122
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-3030
  • Fax: 312-694-0090
Mailing address:
  • Phone: 312-926-3030
  • Fax: 312-694-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SABINA STRZEMINSKA
Title or Position: DIRECTOR
Credential:
Phone: 312-695-0646