| NPI | 1588063572 |
|---|---|
| Doing Business As | NORTHWESTERN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JUSTIN A. JOHNSON VP, CFO 312-926-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |