NORTHWESTERN MEDICAL GROUP
NPI 1588063572
Optometrist in Chicago, IL

Active since August 15, 2014
259 E. ERIE STREET, SUITE#02-220, CHICAGO, IL 60611(312) 695-8150 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwestern Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWESTERN MEDICAL GROUP (NPI 1588063572) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since August 2014. The organization lists Justin A. Johnson, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1588063572
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNORTHWESTERN MEDICAL FACULTY FOUNDATION
Location Address259 E. ERIE STREET, SUITE#02-220Chicago, IL 60611-2661
Mailing Address680 N Lake Shore Dr, Suite#1000Chicago, IL 60611-4546 · (312) 695-9797
Organization SubpartNo
Authorized OfficialJustin A. JohnsonVp, Cfo · (312) 926-1599
Enumeration DateAugust 15, 2014
NPI 1588063572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
259 E. ERIE STREET, Chicago, IL 60611

Other Names 1

Doing Business AsNorthwestern Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
259 E. ERIE STREET
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwestern Medical Faculty Foundation's NPI number?

The NPI number for Northwestern Medical Faculty Foundation is 1588063572. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as Northwestern Medical Group.

Where is Northwestern Medical Faculty Foundation located?

Northwestern Medical Faculty Foundation is located at 259 E. Erie Street Suite#02-220, Chicago, IL 60611. The listed phone number is (312) 695-8150.

What is Northwestern Medical Faculty Foundation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Northwestern Medical Faculty Foundation was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.