Evanston Premier Healthcare Research LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036093330 Issued in IL

Legal business name

EVANSTON PREMIER HEALTHCARE RESEARCH LLC

Practice address

2500 Ridge Ave
Suite 104
Evanston, IL 60201-2455

Phone

(847) 869-1192

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey George Geohas, MDNPI 1609846351

Title

Owner

Phone

(847) 869-1192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey George Geohas, M.D.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1609846351
  Medicare reassignment NPD Authorized official
• Elizabeth King Woo-Strauss, M.D.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1154392645
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1508124744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE 104",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-869-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE 104",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-869-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON PREMIER HEALTHCARE RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GEOHAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-869-1192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Evanston Periodontics, LLC
• Evanston Podiatric Surgeons PC
• Evanston Podiatry Center
• Evanston Relational Psychotherapy PLLC
• Evanston Skilled Nursing Facility LLC (The Grove of Evanston Living & Rehab)
• Evanston Spine and Rehab P.C.
• Evanston Township HDS 202
• Evanston Township High School Health Center

• Internal Medicine Physician in Evanston, IL
• Providers in Evanston, 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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.