Active NPI
North Shore Brain and Body Inc
- Physical Therapist
- Libertyville, IL
National Provider Identifier
1053908673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NORTH SHORE BRAIN AND BODY INC
- Practice address
- 1590 S Milwaukee Ave Ste 211
Libertyville, IL 60048-3785 - Phone
- (224) 688-7710
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Cathleen Ellen Bender, PT
- Title
- Owner
- Phone
- (224) 688-7710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lindenhurst, IL
- NPI 1851405609
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1590 S Milwaukee Ave Ste 211
Libertyville, IL 60048-3785
Mailing address
926 Clark Dr
Gurnee, IL 60031-3115
Phone (224) 688-7710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2020.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1053908673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 CLARK DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313115",
"telephone_number": "224-688-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 S MILWAUKEE AVE STE 211",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483785",
"telephone_number": "224-688-7710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE BRAIN AND BODY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "CATHLEEN",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-688-7710",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.