North Shore Advanced Surgery, SC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

36090899 Issued in IL

Legal business name

NORTH SHORE ADVANCED SURGERY, SC

Practice address

660 N Westmoreland Rd Ste 303
Lake Forest, IL 60045-1659

Phone

(847) 735-0067

Fax

(847) 735-1398

NPI assigned

Jun 21, 2007

Last updated

Sep 23, 2010By 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

Dr. Sonya M Sharpless, MDNPI 1396739280

Title

President

Phone

(847) 735-0067

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, and the practitioner matching its NPPES authorized official.

• Sonya M Sharpless, M.D.

  • Surgical Oncology Physician
  • Lake Forest, IL
  • NPI 1396739280
  Authorized official Same address or phone

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1093911745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD STE 303",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-735-0067",
            "fax_number": "847-735-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD STE 303",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-735-0067",
            "fax_number": "847-735-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ADVANCED SURGERY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "SHARPLESS",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-735-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "36090899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Nguyen, RN
• Olivia Nickulis
• Olivia M Niepsuj, PA-C
• Kate Niesen, PA-C
• Aurelia Noronha, PT, PH.D
• North Shore Behavioral Health LLC
• North Shore Nutrition PLLC
• North Shore Rheumatology
• North Suburban Oral and Maxillofacial Surgery LTD
• Northeast Radiology Associates, S.C.

• Surgical Oncology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Surgical Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.