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 1770992448

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

In the registry since
2014
Specialties on file
3

Practice location Address checks out

1475 E Belvidere Rd Suite# 1297
Grayslake, IL 60030-2012
Phone: (847) 295-0001
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 number1770992448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Johnson — Vp,Cfo · (312) 926-1599
Other names Northwestern Medical Group
NPI enumeratedAugust 7, 2014
Last updated in NPPESFebruary 23, 2017
Mailing address680 N Lake Shore Dr, Suite# 1000, Chicago, IL 60611-8709

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