CHICAGO NORTHSHORE PSYCHOLOGISTS, INC. (NPI# 1245499979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245499979 |
Entity Type | Organization |
Organization Name | CHICAGO NORTHSHORE PSYCHOLOGISTS, INC. |
Practice Address |
4905 Old Orchard Ctr Suite 607 Skokie IL 60077-1458 |
Practice Telephone | 7732597732 |
Mailing Telephone | 7732597732 |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |
Authorized Official Name | DR. CATHERINE A KIEFT (SECRETARY) |
Authorized Official Telephone | 7732597732 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071007068 | IL | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006758 | IL | Behavioral Health & Social Service Providers |
Street Address |
4905 OLD ORCHARD CTR SUITE 607 |
City | SKOKIE |
State | IL |
Zip Code | 60077-1458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
1023554276 | Idalia Karolina Walo | Counselor | 4905 Old Orchard Ctr, Suite428, Skokie, IL 60077-1458 | 2017-01-12 |
1639611056 | Anuj Lal Md Ltd | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2016-11-16 |
1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
1679980924 | Toni Ellis Wolf, Dds, PC | Dentist | 4905 Old Orchard Ctr, Su 232, Skokie, IL 60077-1458 | 2014-07-18 |
1790127660 | Abc Home Health Care, Inc | Home Health | 4905 Old Orchard Ctr, Suite 736, Skokie, IL 60077-1458 | 2013-07-21 |
1780925305 | Gregory Kaczmarek, Md, LLC | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2013-03-06 |
1235401019 | Resurrection Services | General Practice | 4905 Old Orchard Ctr, Suite 634, Skokie, IL 60077-1458 | 2012-02-08 |
1316227655 | Sergio Rubinstein | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-08-18 |
1427348903 | Alan J. Nidetz | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184258808 | Cleminson Psychological Services, LLC | Psychologist | 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 | 2020-03-03 |
1427575380 | Heather Stephenson | Psychologist | 9501 Lawler Ave, Skokie, IL 60077-1274 | 2017-08-23 |
1376071886 | Marla Debra Miller | Psychologist | 4040 Enfield Ave, Skokie, IL 60076-1934 | 2017-05-28 |
1790152635 | Jessica Ellen Dubnow | Psychologist | 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 | 2015-08-26 |
1770830275 | David N. Gershan | Psychologist | 8053 Kolmar Ave, Skokie, IL 60076-3114 | 2012-08-14 |
1326326778 | Patricia S Cochran | Psychologist | 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 | 2011-08-02 |
1962719013 | Paul Thomas Riel | Psychologist | 8540 Leclaire St, Skokie, IL 60077-2135 | 2010-09-10 |
1750569224 | Mary Frances Schneider | Psychologist | 5323 Galitz St, Skokie, IL 60077-2712 | 2008-02-06 |
1598944530 | Laura S. Trakhtman | Psychologist | 8936 Niles Center Rd # D, Skokie, IL 60076-1847 | 2007-10-26 |
1780885772 | Nydia Lelia Welles | Psychologist | 4019 Church St, Skokie, IL 60076-1773 | 2007-05-29 |
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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.