Organization Active NPI

Northshore Sleep Medicine, S.C.

  • Sleep Disorder Diagnostic Clinic/Center
  • Northbrook, IL
National Provider Identifier
1053453167
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
042618664 Issued in IL
Legal business name
NORTHSHORE SLEEP MEDICINE, S.C.
Practice address
1535 Lake Cook Rd Ste 206
Northbrook, IL 60062-1451
Phone
(847) 674-3600
Fax
(847) 674-3639
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Ms. Giulia Andra Alexandru
Title
Office Manager
Phone
(847) 674-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 042618664 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 206
Northbrook, IL 60062-1451

Mailing address

1535 Lake Cook Rd Ste 206
Northbrook, IL 60062-1451
Phone (847) 674-3600

Other practice location 1

3451 Church St.
Evanston, IL 60203
Phone (847) 674-3600 ext. 211

National Provider Directory

National Provider Directory

Locations

3451 Church St
Evanston, IL 60203
Phone (847) 674-3600

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1053453167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 206",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621451",
            "telephone_number": "847-674-3600",
            "fax_number": "847-674-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 206",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621451",
            "telephone_number": "847-674-3600",
            "fax_number": "847-674-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3451 Church St.",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60203",
            "country_code": "US",
            "telephone_number": "847-674-3600 x211",
            "fax_number": "847-674-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSHORE SLEEP MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRU",
        "authorized_official_first_name": "GIULIA",
        "authorized_official_middle_name": "ANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-674-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "042618664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.