Organization Active NPI

North Shore Physicians Group, LLC

  • Hematology & Oncology Physician
  • Skokie, IL
National Provider Identifier
1336461987
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036098898 Issued in IL
Legal business name
NORTH SHORE PHYSICIANS GROUP, LLC
Practice address
9711 Skokie Blvd
Suite a
Skokie, IL 60077-1384
Phone
(847) 568-9930
Fax
(847) 568-9932
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
John Croghan, MD
Title
Physician/President
Phone
(847) 251-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 036098898 IL Primary

Addresses

Primary practice location

9711 Skokie Blvd
Suite a
Skokie, IL 60077-1384

Mailing address

9711 Skokie Blvd
Suite a
Skokie, IL 60077-1384
Phone (847) 568-9930

National Provider Directory

National Provider Directory

Locations

2614 Patriot Blvd
#A
Glenview, IL 60026
Phone (847) 729-8833

2155 Pfingsten Rd
Northbrook, IL 60062
Phone (847) 480-6350

9312 Skokie Blvd
Skokie, IL 60077
Phone (847) 329-7788

9711 Skokie Blvd
Ste A
Skokie, IL 60077
Phone (847) 568-9930

1625 Sheridan Rd
Ste A
Wilmette, IL 60091
Phone (847) 256-2890

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1336461987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 SKOKIE BLVD",
            "address_2": "SUITE A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771384",
            "telephone_number": "847-568-9930",
            "fax_number": "847-568-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 SKOKIE BLVD",
            "address_2": "SUITE A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771384",
            "telephone_number": "847-568-9930",
            "fax_number": "847-568-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "CROGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "847-251-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036098898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.