Active NPI
Northshore Premier Primary Care,LLC
- Health Service Clinic/Center
- Morton Grove, IL
National Provider Identifier
1144865635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NORTHSHORE PREMIER PRIMARY CARE,LLC
- Practice address
- 9211 Waukegan Rd
Morton Grove, IL 60053-2102 - Phone
- (847) 529-7866
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvia Sabahat
- Title
- Ceo
- Phone
- (847) 529-7866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
9211 Waukegan Rd
Morton Grove, IL 60053-2102
Mailing address
9211 Waukegan Rd
Morton Grove, IL 60053-2102
Phone (847) 529-7866
Other names 1
- ALVIA SABAHAT
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/20908/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583712000000",
"number": "1144865635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9211 WAUKEGAN RD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532102",
"telephone_number": "847-529-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 WAUKEGAN RD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532102",
"telephone_number": "847-529-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSHORE PREMIER PRIMARY CARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A",
"authorized_official_last_name": "SABAHAT",
"authorized_official_first_name": "ALVIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-529-7866"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALVIA SABAHAT",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "ALVIA SABAHAT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Morton Grove, IL
- North Shore Center of Dental Health
- North Shore Family Plastic Surgery LLC
- North Shore Pain Management LLC
- North Shore Spine & Wellness Inc
- North Suburban Pulmonary & Critical Care Consultants, S.C.
- Northwest Chicago Urgent Care SC
- Northwest Morton Grove SC
- Northwestern Medical Associates,S.C.
- NP Health of FL LLC
- NP Health of KS LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.