Active NPI
North Shore Ambulatory Surgery
- Plastic Surgery Physician
- Highland Park, IL
National Provider Identifier
1376643833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- NORTH SHORE AMBULATORY SURGERY
- Practice address
- 1160 Park Ave West
Suite 2 East
Highland Park, IL 60035 - Phone
- (847) 432-1356
- Fax
- (847) 432-0891
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Paul Bloch, MD
- Title
- Owner
- Phone
- (847) 432-0840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | IL | Primary |
Addresses
Primary practice location
1160 Park Ave West
Suite 2 East
Highland Park, IL 60035
Mailing address
1160 Park Ave West
Suite 2 East
Highland Park, IL 60035
Phone (847) 432-1356
National Provider Directory
National Provider DirectoryLocations
1160 Park Ave W
Ste 2E
Highland Park, IL 60035
Phone (847) 432-0840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376643833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 PARK AVE WEST",
"address_2": "SUITE 2 EAST",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-1356",
"fax_number": "847-432-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 PARK AVE WEST",
"address_2": "SUITE 2 EAST",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-1356",
"fax_number": "847-432-0891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE AMBULATORY SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOCH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-432-0840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
- Rebecca F Nishimoto, PA-C
- Patricia Ann Nolan, LCPC
- Nancy A Nora, MD
- Norman J Markus M.D. S.C.
- North Sheridan Family Medicine PC
- North Shore Audiology Consultants, PLLC
- North Shore Audiovestibular Lab Inc
- North Shore Compassionate Care, LLC
- North Shore Counseling Associates
- North Shore Counseling Services, LLC.
Sources for this page
- 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.