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 provides Psychologist services 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 Not confirmed with CMS for 13 years — call before visiting
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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