NORTH SUBURBAN NEPHROLOGY LLC (NPI# 1801041645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801041645 |
| Entity Type | Organization |
| Organization Name | NORTH SUBURBAN NEPHROLOGY LLC |
| Practice Address |
343 Ridge Rd Ste A Wilmette IL 60091-3251 |
| Practice Telephone | 8476731375 |
| Practice Fax Number | 8472561027 |
| Mailing Telephone | 8476731375 |
| Mailing Fax Number | 8472561027 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Authorized Official Name | DR. WALID N GHANTOUS (CEO MEMBER) |
| Authorized Official Telephone | 8474463200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01553437 | IL | Other Service Providers |
| Street Address |
343 RIDGE RD STE A |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467653386 | North Suburban Nephrologists | Specialist | 343 Ridge Rd Ste A, Wilmette, IL 60091-3251 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598122566 | Images Med Spa Old Orchard LLC | Specialist | 505 Skokie Blvd, Wilmette, IL 60091-2131 | 2016-01-21 |
| 1336539451 | Terrie Bridgman | Specialist | 1232 Greenwood Ave, Wilmette, IL 60091-1622 | 2015-01-27 |
| 1467653386 | North Suburban Nephrologists | Specialist | 343 Ridge Rd Ste A, Wilmette, IL 60091-3251 | 2007-05-29 |
| 1144433533 | Patricia Berg-drazin | Specialist | 1237 Manor Dr, Wilmette, IL 60091-1028 | 2007-05-08 |
| 1952369217 | North Shore Physicians Group, LLC | Specialist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2006-05-03 |
| 1942423587 | Peter R. Lewy, Md, Ltd | Specialist | 1100 Central Ave, Suite H, Wilmette, IL 60091-2666 | 2007-04-11 |
| 1134250095 | Elysa B Fisher | Specialist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-03-09 |
| 1730218082 | Benjamin M. Kaplan | Specialist | 900 Sheridan Rd, Wilmette, IL 60091-1938 | 2007-03-05 |
| 1558390849 | Peak Therapeutics, Ltd | Specialist | 3545 Lake Ave, Suite 103, Wilmette, IL 60091-1058 | 2006-07-01 |
| 1538101423 | James Kevin Buskirk | Specialist | 3545 Lake Ave, Wilmette, IL 60091-1058 | 2006-06-12 |
| Find all providers in WILMETTE | ||||
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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.