NORTHWESTERN MEMORIAL HOSPITAL
NPI 1790953669
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL
About Northwestern Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWESTERN MEMORIAL HOSPITAL (NPI 1790953669) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Peter J Mccanna, Executive Vp Of Administration/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0980567
Northwestern Memorial Hospital Cardio Rehab · Chicago, ILFrequently 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 Memorial Hospital's NPI number?
The NPI number for Northwestern Memorial Hospital is 1790953669. It was assigned to this organization in the NPPES registry on February 13, 2008.
Where is Northwestern Memorial Hospital located?
Northwestern Memorial Hospital is located at 30 W Chicago Ave, Chicago, IL 60610. The listed phone number is (312) 926-8300.
What is Northwestern Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does Northwestern Memorial Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0980567) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Northwestern Memorial Hospital was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Northwestern Memorial Hospital · NPI 1790953669
Mental Health (Including Community Mental Health Center) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since February 13, 2008.
## Identity
- **NPI:** 1790953669 (Entity type: Organization)
- **Enumerated:** February 13, 2008
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Peter Mccanna, EXECUTIVE VP OF ADMINISTRATION/CEO
## Practice location
- **Address:** 30 W CHICAGO AVE, Chicago, IL 60610-4331
- **Phone:** (312) 926-8300
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790953669) · Data from the CMS NPPES public registry.