Organization Active NPI

The Eisenstein Clinic Inc

  • General Practice Physician
  • Skokie, IL
National Provider Identifier
1114272549
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE EISENSTEIN CLINIC INC
Practice address
7514 Saint Louis Ave
Skokie, IL 60076-4034
Phone
(837) 329-2020
Fax
(847) 329-2065
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer Sarah Eisenstein, NPNPI 1427364298
Title
Executive Director
Phone
(847) 329-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7514 Saint Louis Ave
Skokie, IL 60076-4034

Mailing address

7514 Saint Louis Ave
Skokie, IL 60076-4034
Phone (837) 329-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1114272549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764034",
            "telephone_number": "837-329-2020",
            "fax_number": "847-329-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764034",
            "telephone_number": "837-329-2020",
            "fax_number": "847-329-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EISENSTEIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-329-2020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.