Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Northwestern Memorial HealthCare before sending sensitive documents. FaxFlow is not affiliated with this organization.
Northwestern Memorial HealthCare fax number
(312) 694-0447
Financial Counseling
Used for: Submission of Financial Assistance Application for hospital medical bills
Fax destination details
- Department
- Financial Counseling
- Purpose
- Submission of Financial Assistance Application for hospital medical bills
- Form
- Financial Assistance Application — Northwestern Medicine Financial Assistance Application
- Address
- 675 North Saint Clair Street, Suite 2-110, Chicago, Illinois 60611, United States
- Voice phone
- 312-926-6906
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out the Financial Assistance Application, attach supporting documents, and submit to Northwestern Memorial HealthCare Financial Counseling. You must apply within 240 days of service; the form asks for personal, income, and insurance information to determine eligibility for charity care or discounts.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.