340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC140281-35 NORTHWESTERN MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
NORTHWESTERN MEMORIAL HOSPITAL
Subdivision Name
Northwestern Memorial Hospital Galter Interventional GI - Galter Interventional GI
Type
Rural Referral Center
Rural
Yes
340B ID
RRC140281-35
Medicare Provider Number
140281
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/28/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Northwestern Memorial Hospital
Matthew Joseph Flynn, VP, Finance, NMHC
(312) 926-5236
Primary Contact
Northwestern Memorial Hospital
Richard Jacobson, Director of Pharmacy
(312) 926-3024
Addresses
Street Address
675 N Saint Clair St
4th Floor
Chicago, IL 60611
Billing Address
Northwestern Memorial Healthcare
Accounts Payable - PO Box 13776
Philadelphia, PA 19101-3776
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session