NORTH SHORE PHYSICAL MEDICINE (NPI# 1588743405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588743405 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE PHYSICAL MEDICINE |
| Practice Address |
241 Golf Mill Center Suite 600 Niles IL 60714 |
| Practice Telephone | 8476998888 |
| Practice Fax Number | 8476998830 |
| Mailing Telephone | 8476998888 |
| Mailing Fax Number | 8476998830 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN J PAUL (CLINIC DIRECTOR) |
| Authorized Official Telephone | 8476998888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians | |
| X | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 01623055 | 01 |
| IL | RAILROAD MEDICARE | DC0192 | 01 |
| Street Address |
241 GOLF MILL CENTER SUITE 600 |
| City | NILES |
| State | IL |
| Zip Code | 60714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548220866 | Lisa Ann Ditchek | Psychologist | 241 Golf Mill Center, Ste 401, Niles, IL 60714 | 2006-03-23 |
| 1942357371 | Nida B Blankas Hernaez | Pediatrics | 241 Golf Mill Center, Ste 200, Niles, IL 60714 | 2007-01-05 |
| 1205999711 | John P Holzer | Dentist | 241 Golf Mill Center, Suite 812, Niles, IL 60714-1215 | 2006-12-18 |
| 1639258445 | Steven J Paul | Chiropractor | 241 Golf Mill Center, Suite 600, Niles, IL 60714 | 2006-11-03 |
| 1689753592 | Luksan Mathew | Chiropractor | 241 Golf Mill Center, Suite 600, Niles, IL 60714 | 2006-11-02 |
| 1215016134 | Hovig Vartanian | Chiropractor | 241 Golf Mill Center, Suite 600, Niles, IL 60714 | 2006-11-02 |
| 1700964673 | Connie Lee Simons | Psychologist | 241 Golf Mill Center, #602, Niles, IL 60714 | 2006-11-01 |
| 1366545857 | Jorge Aliaga, M.d.,s.c. | Internal Medicine | 241 Golf Mill Center, Ste 728, Niles, IL 60714 | 2006-09-07 |
| 1144332248 | Shirley Craven | Social Worker | 241 Golf Mill Center, #403, Niles, IL 60714 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335650 | Mmac Health | Chiropractor | 8888 N Milwaukee Ave, Niles, IL 60714-1752 | 2018-02-12 |
| 1063810059 | Advanced Chiropractic Patient Services | Chiropractor | 1501 S 11th St, Niles, MI 49120-4203 | 2014-12-08 |
| 1194095729 | Alexander Scott Park | Chiropractor | 8060 W Oakton St, Suite 202, Niles, IL 60714-2747 | 2012-01-12 |
| 1437300548 | Jung H Seo | Chiropractor | 9056 W Golf Rd, Niles, IL 60714-5805 | 2008-10-07 |
| 1235393604 | Angel Chiropractic Center, LLC | Chiropractor | 641 Robbins Ave, Niles, OH 44446-2413 | 2008-07-15 |
| 1871753160 | Thompson Family Chiropractic and Wellness Center P.C. | Chiropractor | 208 Grant St, Niles, MI 49120-2202 | 2008-06-11 |
| 1407068547 | Healthcare Specialists, Ltd | Chiropractor | 8034 N. Milwaukee, Niles, IL 60714-2802 | 2007-05-03 |
| 1821110420 | Angela Toni Ricciulli | Chiropractor | 1250 Youngstown Warren Rd Bldg 1, Niles, OH 44446-4649 | 2007-04-04 |
| 1679600829 | Antonio Ray Gonzales | Chiropractor | 920 Lambert St, Niles, MI 49120-3413 | 2007-02-27 |
| 1922148717 | Craig Steven Iorio | Chiropractor | 7936 W Oakton, Advance Chiropractic, Niles, IL 60714-2457 | 2007-02-08 |
| Find all providers in NILES | ||||
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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.