North Shore Vascular Associates LTD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

NORTH SHORE VASCULAR ASSOCIATES LTD

Practice address

495 Central Ave
Suite 200
Northfield, IL 60093-3044

Phone

(847) 441-2700

Fax

(847) 441-9955

NPI assigned

Jan 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Diane E Golan

Title

Practice Manager

Phone

(847) 441-2700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donald M. Glenn, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1649321944
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053462499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-441-2700",
            "fax_number": "847-441-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-441-2700",
            "fax_number": "847-441-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE VASCULAR ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-441-2700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Adolescent Recovery Center
• North Shore Center for Facial Plastic and Cosmetic Surgery
• North Shore Counseling and Psychotherapy
• North Shore Physicians Group, LLC
• North Shore Senior Center
• Northfield Vision Center LLC
• Northview Dental Assocs
• Diana Nunez
• Caitlin O'Neil, BSW
• Maria Ochoa

• Vascular Surgery Physician in Northfield, IL
• Providers in Northfield, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.