Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwestern Memorial Healthcare

Organization Family Medicine Physician · NPI 1780155879

Northwestern Memorial Healthcare provides Family Medicine Physician services in Dekalb, Illinois. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

385 Wirtz Dr
Dekalb, IL 60115
Phone: (952) 653-2565
Fax: (952) 653-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1780155879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vernita Jorden — Do · (312) 926-4843
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing address385 Wirtz Drive, Dekalb, IL 60115

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