NORTHSHORE UNIVERSITY HEALTHSYSTEM (NPI# 1689944431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689944431 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM |
| Practice Address |
2650 Ridge Ave Evanston IL 60201-1718 |
| Practice Telephone | 8475702000 |
| Mailing Telephone | 8475702000 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | MR. GARY E WEISS (CFO) |
| Authorized Official Telephone | 8475705065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0000646 | IL | Ambulatory Health Care Facilities |
| 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 |
| 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 |
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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056592 | Amsf | Clinic/Center | 1708 Washington St, Evanston, IL 60202-1632 | 2020-06-02 |
| 1356717151 | Churchwell Psychiatry, S.c. | Clinic/Center | 636 Church St Ste 409a, Evanston, IL 60201-4580 | 2015-08-15 |
| 1487296380 | Suber Counseling & Consulting, LLC | Clinic/Center | 1740 Ridge Ave Ste Ll4, Evanston, IL 60201-5909 | 2019-10-11 |
| 1629418132 | Robert W. Burton, Md, Inc. | Clinic/Center | 636 Church St, Suite 715, Evanston, IL 60201-4587 | 2013-06-28 |
| 1245513068 | Karl D Lehman Md Sc | Clinic/Center | 707 Madison St, Evanston, IL 60202-2204 | 2011-09-28 |
| 1538459268 | Lori Aitken, Lcpc | Clinic/Center | 1818 Dempster St, Evanston, IL 60202-1003 | 2011-04-14 |
| 1568609105 | Diana Beliard, Ph.d.; P.C. | Clinic/Center | 2530 Crawford Ave, Suite 308, Evanston, IL 60201-4970 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1699372250 | Ctf Illinois | Clinic/Center | 1400 Reynolds Dr, Charleston, IL 61920-2411 | 2020-10-07 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1962017665 | Hopeology, Pllc | Clinic/Center | 700 E North St Ste B, Elburn, IL 60119-7009 | 2020-09-10 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1508479288 | Bash Psychotherapy Corporation | Clinic/Center | 413 E Berry Rd, Barrington, IL 60010-3317 | 2020-08-24 |
| 1326658402 | Ventura Counseling, LLC | Clinic/Center | 620 Manchester Ave, Westchester, IL 60154-2714 | 2020-08-04 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHSHORE UNIVERSITY HEALTHSYSTEM.
| 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.