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General NPI Number Information
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NPI Number | 1205763885
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Entity Type | Organization
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Legal Business Name | NORTHWESTERN MEDICINE
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 710 N STATE ST
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City | CHICAGO
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State | IL
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Zip | 60654-3820
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Country | US
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Telephone | 630-933-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 N WOLCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60622-3127
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Country | US
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Telephone | 312-694-9393
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CY WHITLER
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Credential | DPT
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Telephone | 270-931-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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