Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwestern Medical Faculty Foundation

Organization Optometrist · NPI 1588063572

Northwestern Medical Faculty Foundation is an Optometrist in Chicago, Illinois. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

259 E Erie Street SUITE#02-220
Chicago, IL 60611-2661
Phone: (312) 695-8150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Corneal and Contact Management Optometrist Taxonomy 152WC0802X
Vision Therapy Optometrist Taxonomy 152WV0400X

Record details

NPI number1588063572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Johnson — Vp, Cfo · (312) 926-1599
Other names Northwestern Medical Group
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014
Mailing address680 N Lake Shore Dr, Suite#1000, Chicago, IL 60611-4546

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