Northwestern University Sll Clinic is a
Clinic/center based in Evanston, Illinois. Northwestern University Sll Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
2315 Campus Dr, Evanston, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 491-3165.
NPI number for Northwestern University Sll Clinic is 1972847002 and their current mailing address is 2315 Campus Dr, Evanston, Illinois. Northwestern University Sll Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972847002.
Healthcare Provider's Profile
| Full Name | Northwestern University Sll Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
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| Location | 2315 Campus Dr, Evanston, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972847002
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 11/02/2016
Medical Identifiers
Medical identifiers for Northwestern University Sll Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972847002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northwestern University Sll Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northwestern University Sll Clinic
2315 Campus Dr,
Evanston, IL 60208-3550
Ph: (847) 491-3165 | Northwestern University Sll Clinic
2315 Campus Dr,
Evanston, IL 60208-3550
Ph: (847) 491-3165 |
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