Northwestern Medical Faculty Foundation

Specialty details in registry · Chicago, IL

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At a glance

446 E Ontario St, Chicago, IL 60611-4418

NPPES record updated Aug 21, 2012. Public records can lag behind changes at a practice.

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Practice location

446 E Ontario St
Chicago, IL 60611-4418
Professional details: NPI, taxonomy & registry record
NPI1154679223
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
273R00000X
Enumeration date
Aug 21, 2012
Record updated
Aug 21, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

273R00000X · Primary

License reported: 209.009740 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

446 E Ontario St
Chicago, IL 60611-4418
Phone
(312) 695-2172
Mailing address
446 E ONTARIO ST

CHICAGO, IL 606114418
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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