Provider Demographics
NPI:1467830745
Name:MCGAW MEDICAL CENTER OF NU
Entity Type:Organization
Organization Name:MCGAW MEDICAL CENTER OF NU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR OF CARDIOVASCULAR IMAGING
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-926-5200
Mailing Address - Street 1:950 W BELLE PLAINE AVE
Mailing Address - Street 2:APT 1E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2488
Mailing Address - Country:US
Mailing Address - Phone:312-823-6642
Mailing Address - Fax:
Practice Address - Street 1:737 N MICHIGAN AVE, STE 1600 NMH
Practice Address - Street 2:CARDIOVASCULAR IMAGING
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125065949282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital