Northshore University Healthsystem

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1008788 Issued in IL

Legal business name

NORTHSHORE UNIVERSITY HEALTHSYSTEM

Doing business as

NorthShore University HealthSystem Home & Hospice Services

Practice address

4901 Searle Pkwy
Suite 160
Skokie, IL 60077-2919

Phone

(847) 475-2001

NPI assigned

Feb 19, 2007

Last updated

Sep 18, 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

Mr. Douglas D Welday

Title

Cfo

Phone

(847) 570-5099

Specialties & licenses 1

Addresses

Other names 1

• NorthShore University HealthSystem Home & Hospice Services Doing business as

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1235273517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTRAL ST RM 222",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011613",
            "telephone_number": "847-570-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 SEARLE PKWY",
            "address_2": "SUITE 160",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772919",
            "telephone_number": "847-475-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE UNIVERSITY HEALTHSYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-570-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1008788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthShore University HealthSystem Home & Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthShore University HealthSystem Home & Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Skokie, IL
• Providers in Skokie, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.