Active NPI
Paige Zivin
- Family Nurse Practitioner
- Buffalo Grove, IL
National Provider Identifier
1144613357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 041369841
- Legal business name
- PAIGE ZIVIN
- Practice address
- 600 W Lake Cook Rd
Suiter 110
Buffalo Grove, IL 60089-2089 - Phone
- (847) 459-6611
- Fax
- (847) 459-7929
- NPI assigned
- Mar 12, 2015
- Organization subpart
- Yes
- Parent organization
- SCOTT D GLAZER MD SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Sutherland
- Title
- Practice Manager
- Phone
- (847) 459-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 041369841 | IL | Primary |
Addresses
Primary practice location
600 W Lake Cook Rd
Suiter 110
Buffalo Grove, IL 60089-2089
Mailing address
600 W Lake Cook Rd
Suiter 110
Buffalo Grove, IL 60089-2089
Phone (847) 459-6611
National Provider Directory
National Provider Directory- Part of
- Robert V Kolbusz MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1144613357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W LAKE COOK RD",
"address_2": "SUITER 110",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892089",
"telephone_number": "847-459-6611",
"fax_number": "847-459-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W LAKE COOK RD",
"address_2": "SUITER 110",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892089",
"telephone_number": "847-459-6611",
"fax_number": "847-459-7929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIGE ZIVIN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SCOTT D GLAZER MD SC",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "847-459-6611"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041369841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.