ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE (NPI# 1811371990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811371990 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE |
| Other Organization Name | ORTHOPAEDICS OF THE NORTH SHORE |
| Practice Address |
4709 Golf Rd Suite 1200 Skokie IL 60076-1231 |
| Practice Telephone | 8478697233 |
| Practice Fax Number | 8478699461 |
| Mailing Telephone | 8478697233 |
| Mailing Fax Number | 8478699461 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MR. JAMES PEKAREK (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8478697233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1619032109 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036043731 | 05 | |
| IL | 036104339 | 05 | |
| IL | 036040690 | 05 | |
| IL | 036099046 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopaedics of the North Shore | Former Legal Business Name - Organization |
| Street Address |
4709 GOLF RD SUITE 1200 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619785 | Harry M Goldin | Specialist | 4709 Golf Rd, 1000, Skokie, IL 60076-1231 | 2005-09-20 |
| 1902339369 | Abt Dental Associates LLC | Dentist | 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 | 2017-04-04 |
| 1932642238 | Patrick Rice | Physician Assistant | 4709 Golf Rd, Skokie, IL 60076-1231 | 2016-11-18 |
| 1861862344 | Maximilian Reinke | Physical Therapist | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-09-28 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1114325792 | Beth Funk, Psy.d, LLC | Psychologist | 4709 Golf Rd, Ste 1150, Skokie, IL 60076-1231 | 2014-12-12 |
| 1548667165 | Orthopaedics of The North Shore | Internal Medicine | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2014-11-25 |
| 1841600020 | Ashley Drew Kauffman | Dentist | 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 | 2014-04-28 |
| 1245669076 | Carolyn A. Barsano, Psy. D. LLC | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2013-11-02 |
| 1164788824 | Beth Funk | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356513246 | Northside Ear, Nose and Throat, Sc | Clinic/Center | 9669 N. Kenton Ave, Suite 605, Skokie, IL 60076-1248 | 2008-03-31 |
| 1023550811 | North Shore Wound Center, Ltd | Clinic/Center | 9631 Gross Point Rd, Ste.107, Skokie, IL 60076-1264 | 2016-11-09 |
| 1225352628 | Horizon Wellness Center, Inc. | Clinic/Center | 4432 Oakton St, Skokie, IL 60076-3259 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351062 | Sara M Gotheridge Md LLC | Clinic/Center | 630 Davis St Ste 301, Evanston, IL 60201-4480 | 2020-06-17 |
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE.
| 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.