Northshore Pediatrics Associates,S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHSHORE PEDIATRICS ASSOCIATES,S.C.

Practice address

6374 N Lincoln Ave
Suite 203
Chicago, IL 60659-1275

Phone

(773) 509-0023

Fax

(773) 509-1839

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shashi Kumar, M.D.NPI 1285737866

Title

Physician

Phone

(773) 509-0023

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Shashi Kumar, MD

  • Pediatrics Physician
  • Lincolnwood, IL
  • NPI 1285737866
  NPD (past) Authorized official
• Kirsten S Charnond, M.D.

  • Pediatric Adolescent Medicine Physician
  • Chicago, IL
  • NPI 1477566776
  NPD (past)
• Debasree Ghosh, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1740509579
  NPD (past)
• Deepti M Tolia, D.O.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1316071640
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164633699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-509-0023",
            "fax_number": "773-509-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-509-0023",
            "fax_number": "773-509-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE PEDIATRICS ASSOCIATES,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-509-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Home Health Corp.
• Northshore Imaging Company
• Northshore Medical Laboratory
• Northshore Medical Product Company
• Northshore Oral Surgery Center
• Northshore Physicians LTD.
• Northside Center for Relationship Counseling
• Northside Center for Relationship Counseling
• Northside Chiropractic Inc
• Northside Dermatology & Laser Center, S.C.

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.