North Shore Surgical Associates, S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH SHORE SURGICAL ASSOCIATES, S.C.

Practice address

1900 Hollister Dr
Suite # 210
Libertyville, IL 60048-5233

Phone

(847) 918-9420

Fax

(847) 918-9494

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Nolan Hill, M.D.

Title

President

Phone

(847) 918-9420

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295837417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE # 210",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-918-9420",
            "fax_number": "847-918-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE # 210",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-918-9420",
            "fax_number": "847-918-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SURGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-918-9420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL TYPE I NPI #",
            "identifier": "1205829801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Center, Inc.
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• Northshore Center for Gastroenterology, SC

• Surgery Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Surgery 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.