Provider Demographics
NPI:1427741909
Name:NORTHWESTERN MEDICAL FACULTY FOUNDATION
Entity type:Organization
Organization Name:NORTHWESTERN MEDICAL FACULTY FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SABINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRZEMINSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-695-0646
Mailing Address - Street 1:1630 SHERMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3711
Mailing Address - Country:US
Mailing Address - Phone:224-271-4860
Mailing Address - Fax:224-271-4870
Practice Address - Street 1:1630 SHERMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3711
Practice Address - Country:US
Practice Address - Phone:224-271-4860
Practice Address - Fax:224-271-4870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWESTERN MEDICAL FACULTY FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center