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

Northwestern Memorial Physicians Group

Organization Psychologist · NPI 1538111299

Northwestern Memorial Physicians Group is a Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
9
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Practice location Address checks out

680 N Lake Shore Dr Ste 818
Chicago, IL 60611-4546
Phone: (312) 926-6146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Psychologist Taxonomy 103T00000X
Chiropractor Taxonomy 111N00000X
Nutritionist Taxonomy 133N00000X
Dermatology Physician Taxonomy 207N00000X
Gastroenterology Physician Taxonomy 207RG0100X · Licence 036-061908 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X · Licence 036070574 (IL)

Record details

NPI number1538111299
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthwestern Medical Faculty Foundation (D/B/A Northwestern Medical Gr
Authorized official Justin Johnson — Vp Finance · (312) 926-1599
Other names Nmpg
NPI enumeratedMay 17, 2006
Last updated in NPPESSeptember 30, 2013
Mailing address680 N Lake Shore Dr, Suite 818, Chicago, IL 60611-4546

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