North Shore Brain and Body Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

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

Last updated

Dec 29, 2020By 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

Cathleen Ellen Bender, PTNPI 1851405609

Title

Owner

Phone

(224) 688-7710

Specialties & licenses 1

Addresses

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.

• Cathleen Ellen Bender, PT

  • Physical Therapist
  • Lindenhurst, IL
  • NPI 1851405609
  NPD Authorized official

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

{
    "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": []
}

• James Nixon
• Emmanuel Nnanna Njoku, MD
• Richard G Noelte, ATC
• Kelsey Nolan
• Carol Norbeck, D.P.T.
• North Shore Oncology-Hematology Associates, LTD.
• North Shore Physical Medical Group, SC
• North Shore Primary Care S.C.
• North Shore Pro-Active Health LLC
• North Shore Surgical Associates, S.C.

• Physical Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physical Therapist in Illinois

• 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.

Verify at the official NPI Registry.