North Shore Cosmetic Surgery & Wellness Center LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036041940 Issued in IL

Legal business name

NORTH SHORE COSMETIC SURGERY & WELLNESS CENTER LTD

Practice address

6948 N Lexington LN
Niles, IL 60714-4444

Phone

(847) 647-0747

NPI assigned

Oct 8, 2008

Last updated

Jan 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell V Kaminski, MD

Title

Owner

Phone

(847) 647-0747

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Marie Orozco, PA-C

  • Surgical Physician Assistant
  • Chicago, IL
  • NPI 1396715017
  NPD (past)
• Vilma Cariaga, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1194996934
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1598916538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 N LEXINGTON LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144444",
            "telephone_number": "847-647-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6948 N LEXINGTON LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144444",
            "telephone_number": "847-647-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE COSMETIC SURGERY & WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-647-0747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036041940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meer Nisengolts, M.D.
• Rachel Nitzarim, PH.D
• Nessa Nkemnji, M.S.
• Rina K Norris, PSY.D.
• North Branch Dermatology LLC
• North Shore Physical Medicine
• North Suburban Hearing Service Inc
• North Suburban Physicians Group, LTD
• North Suburban Surgical Consultants, LLC
• Northshore Medical Practice LTD

• Internal Medicine Physician in Niles, IL
• Providers in Niles, 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 Jan 18, 2012; 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.