Northestern Illinois University Student Health Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES

Practice address

5500 N Saint Louis Ave RM E-051
Chicago, IL 60625-4625

Phone

(773) 442-5800

Fax

(773) 442-5808

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Kay Heimbaugh, RN, APN, FNPNPI 1356874580

Title

Director of Student Health Services

Phone

(773) 442-5800

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Sharon Kay Heimbaugh, RN, FNP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1356874580
  Authorized official Same address or phone

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1053822080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N SAINT LOUIS AVE RM E-051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254625",
            "telephone_number": "773-442-5800",
            "fax_number": "773-442-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N SAINT LOUIS AVE RM E-051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254625",
            "telephone_number": "773-442-5800",
            "fax_number": "773-442-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "HEIMBAUGH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "773-442-5800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, APN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Senior Center
• Northern Illinois Clinical Laboratory, LTD. (Propath Laboratory)
• Northern Illinois Foot & Ankle Specialists, LTD
• Northern Illinois Foot & Ankle Specialists, LTD
• Northern Illinois Foot & Ankle Specialists, LTD
• Northriver MHC
• Pamela Weiner Northrop, MA LCSW
• Tiffany Northrop, OTR/L M.A.
• Edward Nicholas Northrup, MD
• Northshore

• Student Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.