Organization Active NPI

Paige Zivin

  • Family Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1144613357
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041369841 Issued in IL
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 SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.