| NPI | 1306203856 |
|---|---|
| Doing Business As | NORTHWESTERN MEDICINE BEN GORDON CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ZYDEK Director Of Finance 815-748-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A-5202-0001-A) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2018-07-23 |