THE NORTH SHORE IV CENTER (NPI# 1194216408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194216408 |
Entity Type | Organization |
Organization Name | THE NORTH SHORE IV CENTER |
Other Organization Name | RADEN IV CENTER |
Practice Address |
200 Green Bay Rd Fl 2 Highwood IL 60040-1703 |
Practice Telephone | 8479640326 |
Mailing Telephone | 8479640326 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |
Authorized Official Name | ERICA LAFFIN (RECEPTION) |
Authorized Official Telephone | 8479640326 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
042620773 | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Raden IV Center | Other Name - Individual/Organization |
Street Address |
200 GREEN BAY RD FL 2 |
City | HIGHWOOD |
State | IL |
Zip Code | 60040-1703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861977274 | Sophie Streveler | Specialist/Technologist | 220 Oakridge Ave, Highwood, IL 60040 | 2018-10-02 |
1356723985 | Hilary Sartain Grimm | Dentist | 410 Green Bay Rd, Highwood, IL 60040 | 2015-06-19 |
1891196580 | Pvr Dental PC | Dentist | 410 Greenbay Rd., Suite #1, Highwood, IL 60040 | 2014-09-12 |
1841359759 | Morton Miller | Internal Medicine | 5310 N Sheridan, Chicago, IL 60040 | 2006-12-06 |
1447735923 | Chau Minh Ha | Nurse Practitioner | 50 Pleasant Ave, Highwood, IL 60040 | 2018-10-01 |
1609315449 | Femcare Ob-gyn Ltd | Obstetrics & Gynecology | 396 Remington Blvd Ste 250, Bolingbrook, IL 60040 | 2017-02-13 |
1154521631 | Karen Raden | Dietitian, Registered | 200 Green Bay Rd Ste 200, Highwood, IL 60040 | 2007-07-23 |
1467732966 | Ismael Gerald Salvador | Dentist | 616 Sheridan Rd, Unit 2b, Highwood, IL 60040-1051 | 2011-08-29 |
1487703419 | Movement Possibilities | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
1154470102 | John Statza | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
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Taxonomy Code | 261QI0500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Infusion Therapy |
Definition to come... |
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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.