MEDICARE: NORTHWESTERN MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit
2	282N00000X	General Acute Care Hospital	0003251	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497859649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWESTERN MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	4698 DEPT
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-4698
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF FINANCE
Name	:	MR. JOHN A. ORSINI
Credential	:
Telephone Number	:	312-926-2000

Provider Enumeration Date	:	09/09/2006
Last Update Date	:	05/28/2026

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