North Shore Wound Center, LTD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036.134524 Issued in IL

Legal business name

NORTH SHORE WOUND CENTER, LTD

Practice address

9631 Gross Point Rd
Ste.107
Skokie, IL 60076-1264

Phone

(224) 534-7167

Fax

(847) 677-4717

NPI assigned

Nov 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vladimir Urbin, M.D.NPI 1740570696

Title

President

Phone

(224) 534-7167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Urbin, M.D.

  • General Practice Physician
  • Skokie, IL
  • NPI 1740570696
  Medicare reassignment Care Compare group NPD Authorized official
• Raymond William Pryor III, M.D.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1447580022

  IL

  Medicare reassignment Care Compare group NPD
• Rohna Bober, APRN, FNP-BC

  • Family Nurse Practitioner
  • Elk Grove Village, IL
  • NPI 1609569458

  Single Specialty

  Medicare reassignment NPD
• Zubair Ali Khan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
  • NPI 1780050195
  Medicare reassignment NPD
• Maya Sandler

  • Nurse Practitioner
  • Willowbrook, IL
  • NPI 1790387157
  Medicare reassignment NPD
• Tal Tovy, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1295374858
  NPD
• Tatiyana M Urbin, DC

  • Chiropractor
  • Skokie, IL
  • NPI 1184665028
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1023550811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 GROSS POINT RD",
            "address_2": "STE.107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761264",
            "telephone_number": "224-534-7167",
            "fax_number": "847-677-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 GROSS POINT RD",
            "address_2": "STE.107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761264",
            "telephone_number": "224-534-7167",
            "fax_number": "847-677-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WOUND CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "URBIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-534-7167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036.134524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Psych Solutions Inc
• North Shore Senior Care LLC (Amada Senior Care NorthShore)
• North Shore Senior Services (Home Instead Senior Care Skokie IL)
• North Shore Senior Services, Inc. (Home Instead Senior Care)
• North Shore Women's Health, S.C.
• North Suburban Dental Associates PC
• North Suburban Neurosurgery PC
• North Suburban Pharmacy Inc (North Suburban Pharmacy)
• Northern Illinois Health Associates
• Northpark First Surgical, Inc.

• Medical Specialty Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.