Organization Active NPI

Kerstin Alischoewski MD SC

  • Infectious Disease Physician
  • Evanston, IL
National Provider Identifier
1033428842
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036090390 Issued in IL
Legal business name
KERSTIN ALISCHOEWSKI MD SC
Practice address
912 Greenwood St
Evanston, IL 60201-6524
Phone
(847) 845-1388
Fax
(847) 845-1388
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Kerstin AlischoewskiNPI 1093792707
Title
President
Phone
(847) 845-1388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 036090390 IL Primary

Addresses

Primary practice location

912 Greenwood St
Evanston, IL 60201-6524

Mailing address

912 Greenwood St
Evanston, IL 60201-6524
Phone (847) 845-1388

Other identifiers 1

IdentifierTypeStateIssuer
036090390MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229001113 IL Part B Supplier - Clinic/Group Practice 8123216538 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Evanston, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1033428842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GREENWOOD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016524",
            "telephone_number": "847-845-1388",
            "fax_number": "847-845-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 GREENWOOD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016524",
            "telephone_number": "847-845-1388",
            "fax_number": "847-845-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSTIN ALISCHOEWSKI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "ALISCHOEWSKI",
        "authorized_official_first_name": "KERSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-845-1388",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036090390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090390",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.