North Shore Wellness Center LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH SHORE WELLNESS CENTER LTD

Practice address

7300 W College Dr
Suite 101
Palos Heights, IL 60463-1152

Phone

(708) 448-8470

Fax

(708) 448-9651

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Markin, PHD

Title

Lic Clinical Psychologist

Phone

(708) 448-8470

Specialties & licenses 1

Addresses

Tax ID family

North Shore Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Shore Wellness Center

  • Behavior Analyst
  • Northbrook, IL
  • NPI 1417196288
  NPD tax ID

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609851740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622421",
            "telephone_number": "847-559-0680",
            "fax_number": "847-559-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W COLLEGE DR",
            "address_2": "SUITE 101",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631152",
            "telephone_number": "708-448-8470",
            "fax_number": "708-448-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LIC CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-448-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory James Nicorata, DDS
• Steven J Nicorata, D.D.S.
• Nirvana Medspa and Laser Center, LTD
• Noor Nofal
• Christina K. Nolan, ED.D., NCC, LCPC
• Northwest Hearing Centers-Palos HTS, LLC (Zounds)
• Nickola Novosel, MD
• Rebecca S. Novotny, MS CCC SLP L
• Nu Me Health, Inc
• Steven Nudo

• Psychologist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.