Provider Demographics
NPI:1679934509
Name:MCGAW MEDICAL CENTRE OF NORTHWESTERN UNIVERSITY
Entity type:Organization
Organization Name:MCGAW MEDICAL CENTRE OF NORTHWESTERN UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DEAN FOR GME
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-503-7975
Mailing Address - Street 1:DEMESNE LANE
Mailing Address - Street 2:
Mailing Address - City:LONGFORD
Mailing Address - State:LONGFORD
Mailing Address - Zip Code:N39 AOC8
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TEMPLE STREET CHILDREN'S UNIVERSITY HOSPITAL
Practice Address - Street 2:TEMPLE STREET
Practice Address - City:DUBLIN
Practice Address - State:DUBLIN 1
Practice Address - Zip Code:D01F772
Practice Address - Country:IE
Practice Address - Phone:3531-878-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren