North Shore University Healthsystems Evanston Hospital

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH SHORE UNIVERSITY HEALTHSYSTEMS EVANSTON HOSPITAL

Practice address

2650 Ridge Ave
Evanston, IL 60201-1718

Phone

(847) 570-2123

Fax

(847) 570-2822

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Peggy Fitch Rubenstein, APN

Title

Pediatric Nurse Practitioner

Phone

(847) 570-2123

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609019462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2123",
            "fax_number": "847-570-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2123",
            "fax_number": "847-570-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UNIVERSITY HEALTHSYSTEMS EVANSTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "FITCH",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "847-570-2123",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Physicians Group, LLC
• North Shore Resilient Family LLC
• North Shore Spinal Rehabilitation Center
• North Shore Therapy PLLC
• North Shore University Health System
• North Star Counseling and Healing PLLC
• North Star Psychotherapy PLLC
• North Suburban Cardiology Associates, S.C.
• North Suburban Cardiology Group, LTD
• North Suburban Pediatrics, SC

• Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinic/Center in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.