North Suburban Family Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-101572 Issued in IL

Legal business name

NORTH SUBURBAN FAMILY MEDICAL

Practice address

150 N River Rd
Suite 310
Des Plaines, IL 60016-1272

Phone

(847) 795-0900

Fax

(847) 795-0955

NPI assigned

Oct 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Beth Samuelsohn, D.O.

Title

President

Phone

(847) 795-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349481600000",
    "number": "1184976730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-795-0900",
            "fax_number": "847-795-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-795-0900",
            "fax_number": "847-795-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-06",
        "last_updated": "2012-10-06",
        "status": "A",
        "authorized_official_last_name": "SAMUELSOHN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-795-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-101572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Nordstrom, PA-C
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• North Shore Pediatric Therapy
• North Suburban Family Medicine LTD
• North Suburban Orthopaedic Associates LTD
• North Suburban Pain and Spine Center LLC
• Northwest Community Foot and Ankle Center LLC
• Northwest Eye Clinic, LTD.

• Family Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; 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.