Organization Active NPI

Northshore Medical Consultants, LTD

  • Family Medicine Physician
  • Gurnee, IL
National Provider Identifier
1578081550
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHSHORE MEDICAL CONSULTANTS, LTD
Practice address
1425 Hunt Club Rd. #302
Gurnee, IL 60031
Phone
(184) 244-6900
Fax
(847) 244-6993
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Taher Sobhy, MDNPI 1679558068
Title
Pesident
Phone
(847) 244-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1425 Hunt Club Rd. #302
Gurnee, IL 60031

Mailing address

1425 N Hunt Club Rd Ste 302
Gurnee, IL 60031-2639
Phone (184) 244-6900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2154828Northshore Medical Consultants, L L P1425 Hunt Club Rd #302, Gurnee, IL 60031Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

1425 N Hunt Club Rd
Ste 302
Gurnee, IL 60031
Phone (847) 244-6900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578081550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD STE 302",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312639",
            "telephone_number": "184-244-6900",
            "fax_number": "847-244-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HUNT CLUB RD. #302",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "184-244-6900",
            "fax_number": "847-244-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE MEDICAL CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOBHY",
        "authorized_official_first_name": "TAHER",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "847-244-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.