NPIMap

Organization Active NPI

North Shore Audiovestibular Lab Inc

  • Audiologist
  • Highland Park, IL
National Provider Identifier
1144243163
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
NORTH SHORE AUDIOVESTIBULAR LAB INC
Practice address
1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2271
Phone
(847) 432-5555
Fax
(847) 432-5554
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Paul Pessis, AU.D.
Title
Owner
Phone
(847) 432-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X IL Primary

Addresses

Primary practice location

1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2271

Mailing address

1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2230
Phone (847) 432-5555

National Provider Directory

National Provider Directory

Locations

4160 Rfd
Long Grove, IL 60047
Phone (847) 634-0808

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1144243163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 4 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-5555",
            "fax_number": "847-432-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 4 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352271",
            "telephone_number": "847-432-5555",
            "fax_number": "847-432-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE AUDIOVESTIBULAR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PESSIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-432-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.