NORTHSHORE UNIVERSITY HEALTHSYSTEM (NPI# 1053367375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053367375 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM |
| Other Organization Name | GLENBROOK HOSPITAL OUTPATIENT PHARMACY |
| Practice Address |
2050 Pfingsten Rd Medical Office Building South - Suite 100 Glenview IL 60026-1324 |
| Mailing Address |
1301 Central St Rm 222 Evanston IL 60201-1613 |
| Practice Telephone | 8476571785 |
| Practice Fax Number | 8476571787 |
| Mailing Telephone | 8475705230 |
| Mailing Fax Number | 8475705240 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. DOUGLAS D WELDAY (CFO) |
| Authorized Official Telephone | 8475705099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0003483 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Glenbrook Hospital Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942561469 | Northshore University Healthsystem | Pharmacy | 757 Park Ave W Rm 1851, Highland Park, IL 60035-2556 | 2012-05-31 |
| 1891052510 | Northshore University Healthsystem | Pharmacy | 2180 Pfingsten Rd Ste 1008, Glenview, IL 60026-1339 | 2012-04-19 |
| 1467723759 | Northshore University Healthsystem | Pharmacy | 9650 Gross Point Rd # 1901, Skokie, IL 60076-1214 | 2012-01-19 |
| 1609817220 | Northshore University Healthsystem | General Acute Care Hospital | 777 Park Ave W, Highland Park, IL 60035-2433 | 2006-06-08 |
| 1437106077 | Northshore University Healthsystem | Home Health | 4901 Searle Pkwy, Suite 160, Skokie, IL 60077-5313 | 2006-05-28 |
| 1003173501 | Northshore University Healthsystem | Durable Medical Equipment & Medical Supplies | 680 N Lake Shore Dr, Suite 924, Chicago, IL 60611-4546 | 2012-04-20 |
| 1962768796 | Northshore University Healthsystem | Durable Medical Equipment & Medical Supplies | 2501 Compass Rd, Suite 2501, Glenview, IL 60026-8000 | 2012-04-05 |
| 1689944431 | Northshore University Healthsystem | Clinic/Center | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2012-01-11 |
| 1497086771 | Northshore University Healthsystem | Clinic/Center | 9811 Woods Dr, H-190, Skokie, IL 60077-4470 | 2010-01-26 |
| 1316177413 | Northshore University Healthsystem | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2009-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | 1301 Central St, Evanston, IL 60201-1613 |
| System for Award Management (SAM) Entities | NORTHSHORE UNIVERSITY HEALTHSYSTEM RESEARCH INSTITUTE | 1001 University Place Suite 100, Evanston, IL 60201-3137 |
| Street Address |
2050 PFINGSTEN RD MEDICAL OFFICE BUILDING SOUTH - SUITE 100 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924931 | Thomas George Neumann | Internal Medicine | 2050 Pfingsten Rd, Ste 110, Glenview, IL 60026-1324 | 2005-09-29 |
| 1912529264 | Lyly Tran | Pharmacist | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2020-05-09 |
| 1417442971 | Gess Suboc | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-27 |
| 1104310325 | Rachael Libertin | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-20 |
| 1033603840 | Taisha Doo | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-15 |
| 1285016410 | Sarah Stombaugh | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2015-06-24 |
| 1063827343 | Lisa Moore | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2014-06-25 |
| 1598170847 | Stephanie Tetreault | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026 | 2014-06-25 |
| 1245672054 | Won Woo Christopher Lee | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2013-07-22 |
| 1740622703 | Anthony Cipolla | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891052510 | Northshore University Healthsystem | Pharmacy | 2180 Pfingsten Rd Ste 1008, Glenview, IL 60026-1339 | 2012-04-19 |
| 1891724860 | Safeway Inc | Pharmacy | 1020 Waukegan Rd, Glenview, IL 60025-3035 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.