George Sousanieh (NPI# 1033514625, PAC ID# 9032477906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1033514625 |
| PAC ID by PECOS | 9032477906 |
| Professional Enrollment ID | I20171223000000 |
| Full Name | George Sousanieh |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Address |
777 Park W Ave Highland Park IL 60035-2433 |
| Phone Number | 8474328000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | HOSPITALIST, INTERNAL MEDICINE |
| Group Practice PAC ID | 2163334699 |
| Number of Group Practice Members | 1274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2650 Ridge Ave, Evanston, IL 60201-1718 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | |
| 777 Park Ave W, Highalnd Park, IL 60035-2433 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | |
| 777 Park W Ave, Highland Park, IL 60035-2433 | 8474328000 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Physicians | 1409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Shokry | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Amy E Westlake Milroy | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 |
| Eamann Ayyad | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr 2nd Floor, Skokie, IL 60077-1057 |
| Jennifer M. Magnuson | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr, Skokie, IL 60077-1057 |
| Kathleen M Colella | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 2180 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1340 |
| Michelle Elizabeth John | Psychiatry | Northshore University Healthsystem Faculty Practice Associates | 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015-5204 |
| Rebecca Wanting Tsang | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 2150 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1314 |
| Jonathan H Seyfert | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1329 N Wolf Rd, Mount Prospect, IL 60056-1500 |
| Emily K Andrew | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1007 Church St, Suite 100, Evanston, IL 60201-5910 |
| Luzheng L Liu | Dermatology | Northshore University Healthsystem Faculty Practice Associates | 1160 Park Ave W, 1n, Highland Park, IL 60035-2271 |
| Street Address |
777 PARK W AVE |
| City | HIGHLAND PARK |
| State | IL |
| Zip | 60035-2433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin D Kyle Iii | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Leonid Lishanskiy | Anesthesiology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Joel R Green | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Rebecca F Nishimoto | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Catherine E Pesce | Surgical Oncology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Kimberly Marie Syres | General Surgery | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Mark A Deshur | Anesthesiology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Dana R Staliliones | Certified Registered Nurse Anesthetist (crna) | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Ninith V Kartha | Neurology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| James M Barton | Anesthesiology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Bishop | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Paul D Schroeder | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Robert W Sharp | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Carla M Thomas | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Eva G Martinez | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Alex Bendersky | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Robert Cesario | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Richard B Colosi | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Joshua J Smith | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Kayla Epperson | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Find all physicians in zip 60035 | |||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
| Specialty | NEPHROLOGY |
| City + Specialty | HIGHLAND PARK + NEPHROLOGY |
Please comment or provide details below to improve the information on George Sousanieh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.