Northshore Physicians LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

060-002113 Issued in IL

Legal business name

NORTHSHORE PHYSICIANS LTD.

Practice address

6374 N Lincoln Ave
Suite 312
Chicago, IL 60659-1275

Phone

(773) 588-7710

Fax

(773) 561-8977

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry P Atlas, M.D.NPI 1073513305

Title

President

Phone

(773) 588-7710

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Barry P Atlas, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1073513305
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1376669663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-588-7710",
            "fax_number": "773-561-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-588-7710",
            "fax_number": "773-561-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE PHYSICIANS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-588-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "060-002113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PROVIDER NUMBER",
            "identifier": "0001615754",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Imaging Company
• Northshore Medical Laboratory
• Northshore Medical Product Company
• Northshore Oral Surgery Center
• Northshore Pediatrics Associates,S.C.
• Northside Center for Relationship Counseling
• Northside Center for Relationship Counseling
• Northside Chiropractic Inc
• Northside Dermatology & Laser Center, S.C.
• Northside Dermatology, S.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 May 23, 2008; 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.