Northshore Premier Primary Care,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

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

Last updated

Mar 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvia SabahatNPI 1699707851

Title

Ceo

Phone

(847) 529-7866

Specialties & licenses 1

Addresses

Other names 1

• ALVIA SABAHAT Other name

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20908/brand/1/csg/1/fhir/r4

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.

• Alvia Sabahat, MD

  • Family Medicine Physician
  • Bethesda, MD
  • NPI 1699707851
  Authorized official Same address or phone

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"
        }
    ]
}

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• Northwest Chicago Urgent Care SC (AFC Urgent Care)
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• Northwestern Medical Associates,S.C.
• NP Health of FL LLC
• NP Health of KS LLC

• Health Service Clinic/Center in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Health Service Clinic/Center in Illinois

• 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.

Verify at the official NPI Registry.