| NPI | 1659868859 |
|---|---|
| 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 | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-07-23 |