Active NPI
Northshore Health Partners LTD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1114068293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHSHORE HEALTH PARTNERS LTD
- Practice address
- 5140 N California Ave
Suite 600
Chicago, IL 60625-3645 - Phone
- (773) 878-3326
- Fax
- (773) 878-3614
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arminio Surucci, M.D.
- Title
- President
- Phone
- (773) 878-3326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 600
Chicago, IL 60625-3645
Mailing address
5140 N California Ave
Suite 600
Chicago, IL 60625-3645
Phone (773) 878-3326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110208482 | Other | IL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
5140 N California Ave
Ste 645
Chicago, IL 60625
Phone (773) 293-3223
331 W Surf St
Ste 711
Chicago, IL 60657
Phone (312) 738-0055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114068293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-878-3326",
"fax_number": "773-878-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-878-3326",
"fax_number": "773-878-3614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSHORE HEALTH PARTNERS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SURUCCI",
"authorized_official_first_name": "ARMINIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-878-3326",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110208482",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Tiffany Northrop, OTR/L M.A.
- Edward Nicholas Northrup, MD
- Northshore
- Northshore Center for Sleep Dentistry, LTD
- Northshore Clinical Laboratories Inc
- Northshore Home Health Corp.
- Northshore Imaging Company
- Northshore Medical Laboratory
- Northshore Medical Product Company
- Northshore Oral Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.