North Suburban Health Care LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH SUBURBAN HEALTH CARE LTD

Practice address

1870 W Winchester Rd
Suite 248
Libertyville, IL 60048-5358

Phone

(847) 913-9434

Fax

(847) 913-9432

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohina Gupta, MDNPI 1174578843

Title

Owner

Phone

(847) 913-9434

Specialties & licenses 1

Addresses

Other names 1

• North Suburban Health Care LTD Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Mohina Gupta, MD

  • Internal Medicine Physician
  • Libertyville, IL
  • NPI 1174578843
  Medicare reassignment NPD Authorized official
• Corrin Miranda, FNP

  • Adult Health Nurse Practitioner
  • Long Grove, IL
  • NPI 1306370838
  Medicare reassignment NPD
• Jennifer J Rogulic, FNP-C

  • Family Nurse Practitioner
  • Algonquin, IL
  • NPI 1457881682
  Medicare reassignment NPD
• May Arnaiz Suasin, APN, CNP

  • Nurse Practitioner
  • Huntley, IL
  • NPI 1619383262
  Medicare reassignment NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235353871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 248",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-913-9434",
            "fax_number": "847-913-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 248",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-913-9434",
            "fax_number": "847-913-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN HEALTH CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MOHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-913-9434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburban Health Care LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• North Shore Physical Medical Group, SC
• North Shore Primary Care S.C.
• North Shore Pro-Active Health LLC
• North Shore Surgical Associates, S.C.
• North Suburban Family Physicians SC (North Suburban Family Physicians)
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Northshore Center for Gastroenterology, SC
• Northshore Osteopathic Healthcare
• Northshore Speech Therapy LLC

• Internal Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Internal Medicine Physician 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.