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General NPI Number Information
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NPI Number | 1689560393
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Entity Type | Organization
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Legal Business Name | NORTHWESTERN MEMORIAL HEALTHCARE
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST STE 17
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City | CHICAGO
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State | IL
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Zip | 60611-5975
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Country | US
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Telephone | 312-695-0990
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Fax | 312-694-0899
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Provider Business Mailing Address
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Address Line | DEPT 4698
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City | CAROL STREAM
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State | IL
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Zip | 60122
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Country | US
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Telephone | 312-926-3030
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Fax | 312-694-0090
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOHN ORSINI
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Credential |
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Telephone | 312-926-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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