Nora Medical Group, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042000021 Issued in IL

Legal business name

NORA MEDICAL GROUP, S.C.

Practice address

6969 North Lincoln Avenue
Lincolnwood, IL 60712-2527

Phone

(847) 674-1200

Fax

(847) 674-1332

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maryannette Nora, M.D.

Title

Owner

Phone

(847) 674-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1629295647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 NORTH LINCOLN AVENUE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122527",
            "telephone_number": "847-674-1200",
            "fax_number": "847-674-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 NORTH LINCOLN AVENUE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122527",
            "telephone_number": "847-674-1200",
            "fax_number": "847-674-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA MEDICAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "NORA",
        "authorized_official_first_name": "MARYANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-674-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "01615916",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Anthony Nofar, PSYD
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• North Shore Physicians Group, LLC
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• North Suburban Family Psychologists

• Internal Medicine Physician in Lincolnwood, IL
• Providers in Lincolnwood, 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 Nov 13, 2008; 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.