NORTHSHORE PRACTITIONERS INC (NPI# 1710289509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710289509 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE PRACTITIONERS INC |
| Practice Address |
1511 Glenwood Road Glenview IL 60025-0000 |
| Mailing Address |
6633 N Lincoln Ave Lincolnwood IL 60712-3605 |
| Practice Telephone | 7739354700 |
| Mailing Telephone | 7733010413 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | MR. IAN CROOK (PRESIDENT) |
| Authorized Official Telephone | 7733010413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1511 GLENWOOD ROAD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366802365 | Matthew Frazier | General Practice | 2305 Central Rd, Glenview, IL 60025-4270 | 2016-03-03 |
| 1497198378 | Lina Gladish | General Practice | 3834 Lizette Ln., Glenview, IL 60026 | 2013-04-10 |
| 1053623009 | Rafi K Altaweel | General Practice | 3710 Capri Ct, Glenview, IL 60025-3810 | 2010-07-07 |
| 1831338565 | Jerald Tornheim | General Practice | 2927 Fairway Ct, Glenview, IL 60025-4062 | 2009-02-19 |
| 1548532310 | Resurrection Services | General Practice | 2614 Patriot Blvd, Suite A, Glenview, IL 60026-8024 | 2012-02-08 |
| 1508956145 | Prabha Vaidya | General Practice | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2006-10-13 |
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| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
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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.