NORTHSHORE UNIVERSITY HEALTHSYSTEM (NPI# 1609817220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609817220 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM |
| Other Organization Name | HIGHLAND PARK HOSPITAL |
| Practice Address |
777 Park Ave W Highland Park IL 60035-2433 |
| Mailing Address |
1301 Central St Evanston IL 60201-1613 |
| Practice Telephone | 8474328000 |
| Practice Fax Number | 8474329305 |
| Mailing Telephone | 8475702000 |
| Mailing Fax Number | 8475705240 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. DOUGLAS WELDAY (CFO) |
| Authorized Official Telephone | 8475705099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0005066 | IL | Hospitals |
| Other Name | Type Code |
|---|---|
| Highland Park Hospital | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1316177413 | Northshore University Healthsystem | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2009-07-23 |
| 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 |
777 PARK AVE W |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325486 | Erin Kathryn Kieny | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-22 |
| 1982243036 | Jennifer Carolyn Peterson | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-06 |
| 1386288660 | Erika Tone | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-10-30 |
| 1811543937 | Lauren Rose Boivin | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-08-14 |
| 1255831426 | Andrea Fonacier | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2018-02-14 |
| 1518470657 | Jacqueline Yen Lam | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-11-12 |
| 1578088852 | Jessica Marie Zinnen | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-08-08 |
| 1699205724 | Claire Emery Hailey | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-06-12 |
| 1164959342 | Karyn Michelle Gerstle | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-05-18 |
| 1568907830 | Atara Schayer | Dietitian, Registered | 777 Park Ave W, Highland Park, IL 60035-2433 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1205370921 | Saint Peters University Hospital | General Acute Care Hospital | 30 S Adelaide Ave, Apt Phb, Highland Park, NJ 08904-1606 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.