North Shore Pediatrics

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

NORTH SHORE PEDIATRICS

Practice address

9933 Lawler Ave Ste 305
Skokie, IL 60077-3713

Phone

(847) 626-0303

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Tatyana KaganNPI 1508924267

Title

Doctor

Phone

(847) 626-0303

Specialties & licenses 1

Addresses

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 1

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

• Tatyana Kagan, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Skokie, IL
  • NPI 1508924267

  Legal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1467737882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 305",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 305",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773713",
            "telephone_number": "847-626-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-626-0303"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Gastroenterology SC
• North Shore Health Center
• North Shore Healthcare, Inc.
• North Shore Medicine S C
• North Shore MRI Centre
• North Shore Physicians Group, LLC
• North Shore Physicians Group, LLC
• North Shore Premier Psychotherapy, Co.
• North Shore Psych Solutions Inc
• North Shore Senior Care LLC (Amada Senior Care NorthShore)

• Legal Medicine in Skokie, IL
• Providers in Skokie, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.