Northwestern Medical Group

LBN: Northwestern Medical Faculty Foundation
Northwestern Medical Group is an health care organization with primary practice located at 1475 E Belvidere Rd Suite# 1297, Grayslake IL 60030-2012. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Northwestern Medical Faculty Foundation can be contacted via phone (847) 295-0001, or through Johnson, Justin A. via phone (312) 926-1599.

Contact Information

Primary practice address
1475 E Belvidere Rd Suite# 1297 Grayslake IL 60030-2012
Phone: (847) 295-0001
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Justin A. 01041973
Phone: (312) 926-1599

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X
Eye and Vision Services Providers / Vision Therapy 152WV0400X

Profile Details

NPI number 1770992448
LBN Legal business name Northwestern Medical Faculty Foundation
DBA Doing business as Northwestern Medical Group
Authorized official Johnson, Justin A. 01041973
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2014
Last updated Feb 23rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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