NORTHSHORE UNIVERSITY HEALTHSYSTEM (NPI# 1316177413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316177413 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM |
| Practice Address |
2650 Ridge Ave Evanston IL 60201-1718 |
| Mailing Address |
5433 N Forest Glen Ave Chicago IL 60630-1523 |
| Practice Telephone | 7735702000 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Authorized Official Name | MISS SAHAR NIMROUZI (PHYSICIAN ASSISTANT CERTIFIED) |
| Authorized Official Telephone | 7738442495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | ========= | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942561469 | Northshore University Healthsystem | Pharmacy | 757 Park Ave W Rm 1851, Highland Park, IL 60035-2556 | 2012-05-31 |
| 1891052510 | Northshore University Healthsystem | Pharmacy | 2180 Pfingsten Rd Ste 1008, Glenview, IL 60026-1339 | 2012-04-19 |
| 1467723759 | Northshore University Healthsystem | Pharmacy | 9650 Gross Point Rd # 1901, Skokie, IL 60076-1214 | 2012-01-19 |
| 1609817220 | Northshore University Healthsystem | General Acute Care Hospital | 777 Park Ave W, Highland Park, IL 60035-2433 | 2006-06-08 |
| 1437106077 | Northshore University Healthsystem | Home Health | 4901 Searle Pkwy, Suite 160, Skokie, IL 60077-5313 | 2006-05-28 |
| 1003173501 | Northshore University Healthsystem | Durable Medical Equipment & Medical Supplies | 680 N Lake Shore Dr, Suite 924, Chicago, IL 60611-4546 | 2012-04-20 |
| 1962768796 | Northshore University Healthsystem | Durable Medical Equipment & Medical Supplies | 2501 Compass Rd, Suite 2501, Glenview, IL 60026-8000 | 2012-04-05 |
| 1689944431 | Northshore University Healthsystem | Clinic/Center | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2012-01-11 |
| 1497086771 | Northshore University Healthsystem | Clinic/Center | 9811 Woods Dr, H-190, Skokie, IL 60077-4470 | 2010-01-26 |
| 1144415407 | Northshore University Healthsystem | Clinic/Center | 1301 Central St, Attn: Alexis Washa, Evanston, IL 60201-1613 | 2007-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | 1301 Central St, Evanston, IL 60201-1613 |
| System for Award Management (SAM) Entities | NORTHSHORE UNIVERSITY HEALTHSYSTEM RESEARCH INSTITUTE | 1001 University Place Suite 100, Evanston, IL 60201-3137 |
| Street Address |
2650 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476545 | Steven C Smart | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2005-06-09 |
| 1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
| 1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
| 1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
| 1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
| 1376141226 | Amanda Hemple | Registered Nurse | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-13 |
| 1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134429640 | St.francis Hospital | General Acute Care Hospital | 338 Custer Ave, Apt# 2, Evanston, IL 60202-3432 | 2010-10-31 |
| 1780906347 | Mary Denise Denholm | General Acute Care Hospital | 1000 Central St Ste 101, Evanston, IL 60201-1780 | 2010-02-24 |
| 1194977827 | Susannah Jensen | General Acute Care Hospital | 2650 Ridge Ave Ste 5303, Evanston, IL 60201-1718 | 2008-10-13 |
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1700170958 | Northshore Healthcare System | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2011-06-06 |
| 1255668448 | St. Francis Hospital | General Acute Care Hospital | 355 Ridge Ave, Evanston, IL 60202-3328 | 2009-11-09 |
| 1083853766 | St. Francis Hospital Ob/gyn Program | General Acute Care Hospital | 355 Ridge Ave, Evanston, IL 60202 | 2009-02-19 |
| 1639332398 | Resurrection | General Acute Care Hospital | 355 Ridge Ave, St Francis Hospital, Evanston, IL 60202-3328 | 2008-07-02 |
| 1619143997 | Glenbrook Hospital | General Acute Care Hospital | 2650 Ridge Ave, Room 1223, Evanston, IL 60201-1718 | 2008-05-06 |
| 1265600886 | Evanston Northwestern Hospital | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-02-17 |
| Find all providers in EVANSTON | ||||
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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.