NORTH SHORE CONSULTANTS IN NEPHROLOGY & HYPERTENSION, SC (NPI# 1821237017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821237017 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE CONSULTANTS IN NEPHROLOGY & HYPERTENSION, SC |
| Practice Address |
2859 Central St Suite 133 Evanston IL 60201-1234 |
| Mailing Address |
28 W Lake St Suite 14 Addison IL 60101-2709 |
| Practice Telephone | 6306075871 |
| Practice Fax Number | 6306289610 |
| Mailing Telephone | 6306075871 |
| Mailing Fax Number | 6306289610 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Authorized Official Name | GEORGE C KIM (PRESIDENT) |
| Authorized Official Telephone | 6306075871 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036099773 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2859 CENTRAL ST SUITE 133 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255643987 | Liliana Osadchuk | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201 | 2010-07-10 |
| 1841516234 | Malgorzata Patro | Internal Medicine | 800 Austin St, West Tower, Suite 503, Evanston, IL 60202-3439 | 2010-04-12 |
| 1548425168 | Menaka Sarav | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-07-23 |
| 1932360864 | Consultants In Kidney Disease LLC | Internal Medicine | 800 Austin St, Suite 269, East Tower, Evanston, IL 60202-3439 | 2008-06-23 |
| 1225112741 | Subramanyam Santhanam | Internal Medicine | 2650 Ridge Ave, Div of Nephrology, Evanston, IL 60201-1718 | 2006-10-24 |
| 1932122322 | Louisa T Ho | Internal Medicine | 1000 Central St, Suite 800, Evanston, IL 60201-1777 | 2006-07-26 |
| 1518988260 | Kevin W. Nash | Internal Medicine | 2650 Ridge Ave, Room 2216, Evanston, IL 60201-1718 | 2006-07-21 |
| 1548280605 | George C. Kim | Internal Medicine | 2650 Ridge Ave, Suite 3213, Evanston, IL 60201-1718 | 2006-07-20 |
| 1114947124 | Stuart M Sprague | Internal Medicine | 2650 Ridge Ave, Division of Nephrology Rm 3213, Evanston, IL 60201-1718 | 2006-07-20 |
| 1043269210 | Ajit Kumar Kesani | Internal Medicine | 800 Austin St, St. Francis Professional Building, West Tower Suite 503, Evanston, IL 60202-3439 | 2006-05-08 |
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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.