Active NPI
North Shore Pathology Consultants, S.C.
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
National Provider Identifier
1053432237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- NORTH SHORE PATHOLOGY CONSULTANTS, S.C.
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (847) 316-2284
- Fax
- (847) 316-2943
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janis Marie Atkinson, MD
- Title
- Director
- Phone
- (847) 316-2288
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
100 Tristate International Ste 300
Lincolnshire, IL 60069-4419
Phone (847) 205-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618679 | Other | IL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Tristate International
Ste 300
Lincolnshire, IL 60069
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1093860892
-
- Anatomic Pathology & Clinical Pathology Physician
- Waukegan, IL
- NPI 1386967776
-
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1104810456
-
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1285894782
-
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1952422115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566950400000",
"number": "1053432237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TRISTATE INTERNATIONAL STE 300",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600694419",
"telephone_number": "847-205-4700",
"fax_number": "847-205-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "847-316-2284",
"fax_number": "847-316-2943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE PATHOLOGY CONSULTANTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2019-08-28",
"status": "A",
"authorized_official_last_name": "ATKINSON",
"authorized_official_first_name": "JANIS",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-316-2288",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "01618679",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
- North Shore Consultants in Nephrology & Hypertension, SC
- North Shore Dental Associates
- North Shore Dentistry for Children
- North Shore Eye Center, Inc.
- North Shore Infusion LTD
- North Shore Physicians Group, LLC
- North Shore Physicians Group, LLC
- North Shore Resilient Family LLC
- North Shore Spinal Rehabilitation Center
- North Shore Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.