Northwestern Medical Group | |
633 Emerson St Evanston IL 60208-0844 | |
(847) 491-8100 | |
(847) 491-5919 |
Full Name | Northwestern Medical Group |
---|---|
Speciality | Clinic/center - Student Health |
Location | 633 Emerson St, Evanston, Illinois |
Authorized Official Name and Position | Russell B Cox (DIRECTOR) |
Authorized Official Contact | 3126957860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwestern Medical Group 633 Emerson St Evanston IL 60208-0844 Ph: (847) 491-8100 | Northwestern Medical Group 633 Emerson St Evanston IL 60208-0844 Ph: (847) 491-8100 |
NPI Number | 1740934231 |
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Provider Enumeration Date | 02/04/2022 |
Last Update Date | 06/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740934231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
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