NORTHWESTERN MEMORIAL HOSPITAL
NPI 1699247502
Family Medicine in Glenview, IL

NPI Status: Active since December 18, 2018

Contact Information

2701 PATRIOT BLVD
GLENVIEW, IL
ZIP 60026
Phone: (952) 653-2565
Fax: (952) 653-2540

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 14D2147091
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 07-15-2025

About NORTHWESTERN MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Northwestern Memorial Hospital, a primary care provider established in Glenview, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1699247502 assigned on December 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Northwestern Memorial Hospital operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Vernita Jorden (Administrator)

NPI
1699247502
Provider Name
NORTHWESTERN MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
2701 PATRIOT BLVD GLENVIEW, IL 60026
Location Phone
(952) 653-2565
Location Fax
(952) 653-2540
Mailing Address
2701 PATRIOT BLVD GLENVIEW, IL 60026
Mailing Phone
(952) 653-2565
Mailing Fax
(952) 653-2540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2018
Last Update Date
12-18-2018
Code Navigator

A primary care provider (PCP) like Northwestern Memorial Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VERNITA JORDEN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(312) 926-4843

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2147091
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
July 16, 2023
Certificate Expiration Date
July 15, 2025
Laboratory Director
DR. JOHN C. LEE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Northwestern Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for NORTHWESTERN MEMORIAL HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699247502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189441450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 4 + 1 + 4 + 5 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1699247502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396709093DR. MICAH J EIMER MD
Individual
Internal Medicine (Cardiovascular Disease)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(312) 504-1124
1407086317DR. BENJAMIN R MARKS M.D./PH.D.
Individual
Dermatology2701 PATRIOT BLVD SUITE 250
GLENVIEW, IL 60026
(847) 724-4536
1962569509DR. ELADIO A VARGAS MD
Individual
Internal Medicine2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 724-4536
1871698092 SAKINA S KADAKIA M.D.
Individual
Emergency Medicine (Sports Medicine)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 724-4536
1992070148 PRIYA P. GOEL
Individual
Family Medicine2701 PATRIOT BLVD #110
GLENVIEW, IL 60026
(847) 475-2273
1134515992 ROBYN WALL PA-C
Individual
Physician Assistant2701 PATRIOT BLVD #110
GLENVIEW, IL 60026
(708) 642-7359
1750815924MISS ANN RENEE MANIKAS PA-C
Individual
Physician Assistant2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 724-4536
1104318666 KRISTA KAY PUCKETT APN
Individual
Nurse Practitioner (Family)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 475-2273
1033696562 KATIE MARIE REIDY PA-C
Individual
Physician Assistant2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 475-2273
1033508817 BETTY KONG
Individual
Dermatology2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 666-5664
1316590409NORTHWESTERN MEDICAL FACULTY FOUNDATION
Organization
Durable Medical Equipment & Medical Supplies2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-7657
1245529130 JENNY KIM M.D.
Individual
Pediatrics2701 PATRIOT BLVD
GLENVIEW, IL 60026
(312) 926-7337
1528599560 MEGAN KOSIROG
Individual
Internal Medicine2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-7157
1982970612DR. JACQUELINE LEIGH CARTIER M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-7647
1356789176DR. CHERYL ANN STEIMAN M.D.
Individual
Allergy & Immunology2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 724-4536
1326668492 LAUREN VICTORIA KYROUAC
Individual
Physician Assistant2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-8500
1619362795DR. KARTHIK SHASTRI M.D.
Individual
Otolaryngology2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 724-4536
1407501869 JOSHUA THOMAS DALY KUESTER ATC
Individual
Specialist/Technologist (Athletic Trainer)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-7157
1336508175 CHRISELLE ANGELIQUE SLONIKER APRN, CNP
Individual
Nurse Practitioner (Family)2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 535-7157
1801295985 MARGARET MEZNARICK RDN, LDN, CDE
Individual
Dietitian, Registered2701 PATRIOT BLVD
GLENVIEW, IL 60026
(847) 998-9483

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699247502, enumerated in the NPI registry as an "organization" on December 18, 2018

The provider is located at 2701 Patriot Blvd Glenview, Il 60026 and the phone number is (952) 653-2565

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc. and Primewell. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D2147091 for a "ancillary testing site in health care center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on December 18, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.