Organization Active NPI

Northshore Health Partners LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1114068293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110208482OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.