International Health Systems

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INTERNATIONAL HEALTH SYSTEMS

Practice address

401 W Lake St
Northlake, IL 60164-2435

Phone

(708) 562-9000

Fax

(708) 409-2750

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sheryl Cohen

Title

Executive Director

Phone

(708) 562-9000

Specialties & licenses 1

Addresses

Other names 1

• Concord Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1053586552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LAKE ST",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642435",
            "telephone_number": "708-562-9000",
            "fax_number": "708-409-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LAKE ST",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642435",
            "telephone_number": "708-562-9000",
            "fax_number": "708-409-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-562-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usha Gope, D.M.D
• Ciprian Gorgan, RPH
• Lisa Guzman, LPC
• Healthstat Inc Scholle Northlake
• Megan Marie Hurt
• Melissa Jacob
• Adiba Jagirdar, DMD
• Heather Jandura, LCSW
• Kindred Chicago Northlake, LLC
• Kindred Healthcare Operating, LLC

• All providers in Northlake, IL
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.