1679934509 NPI number — MCGAW MEDICAL CENTRE OF NORTHWESTERN UNIVERSITY

Table of content: DR. MORUFU OLATUNJI ALAUSA M.D (NPI 1730135955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679934509 NPI number — MCGAW MEDICAL CENTRE OF NORTHWESTERN UNIVERSITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCGAW MEDICAL CENTRE OF NORTHWESTERN UNIVERSITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679934509
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEMESNE LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONGFORD
Provider Business Mailing Address State Name:
LONGFORD
Provider Business Mailing Address Postal Code:
N39 AOC8
Provider Business Mailing Address Country Code:
IE
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TEMPLE STREET CHILDREN'S UNIVERSITY HOSPITAL
Provider Second Line Business Practice Location Address:
TEMPLE STREET
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
DUBLIN 1
Provider Business Practice Location Address Postal Code:
D01F772
Provider Business Practice Location Address Country Code:
IE
Provider Business Practice Location Address Telephone Number:
35318784200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2016

Additional Information

Authorized Official

Authorized Official Last Name:
GOLDSTEIN
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSOCIATE DEAN FOR GME
Authorized Official Telephone Number:
312-503-7975

Provider Taxonomy Codes

  • Taxonomy code: 282NC2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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