OrganizationActive
Northwestern Memorial Physicians Group
NPI 1093097040 · Non-Pharmacy Dispensing Site · Chicago, IL
Provider details
- NPI number
- 1093097040
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Cynthia Knoll, Vice President of Operations(312) 926-6147
- License
- 036095919 (IL)
Specialties & taxonomies
Suppliers
Practice location
1460 N Halsted St
Suite 502
Chicago, IL 60642-2605
Phone: (312) 926-7028
Approximate (ZIP-level) locationGet directions
Mailing address
1460 N Halsted St
Chicago, IL 60642-2605
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2011-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.