North Shore Allergy and Asthma, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

042-003044 Issued in IL

Legal business name

NORTH SHORE ALLERGY AND ASTHMA, S.C.

Practice address

1790 Nations Dr
Suite 102
Gurnee, IL 60031-9164

Phone

(847) 662-4455

Fax

(847) 662-9940

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Parthiv S Shah, M.D.NPI 1053313775

Title

Secretary Treasurer

Phone

(847) 662-4455

Specialties & licenses 1

Addresses

Other identifiers 1

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 2

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

• Parthiv Shah, M.D.

  • Specialist
  • Gurnee, IL
  • NPI 1053313775
  Medicare reassignment NPD Authorized official
• Michael Cavanaugh, M.D.

  • Specialist
  • Gurnee, IL
  • NPI 1407858376
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1467567156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR",
            "address_2": "SUITE 102",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319164",
            "telephone_number": "847-662-4455",
            "fax_number": "847-662-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR",
            "address_2": "SUITE 102",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319164",
            "telephone_number": "847-662-4455",
            "fax_number": "847-662-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ALLERGY AND ASTHMA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "847-662-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042-003044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "049-15734",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oana Nisipeanu, M.D.
• Yana Nodelman
• Amy L Noel, MD
• Lourdes N Nogoy, DENTAL HYGIENIST
• North Lake Cardiovascular Center PC
• North Shore Naprapathics
• North Shore Psychology Specialists, PC
• North Suburban Dermatology Associates,SC
• North Suburban Endodontics PC
• North Suburban Medical Office, LTD

• Specialist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.