North Shore Physicians Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH SHORE PHYSICIANS GROUP, LLC

Practice address

2740 W Foster Ave
Ste. 113
Chicago, IL 60625-3500

Phone

(773) 769-0575

NPI assigned

Mar 12, 2008

Organization subpart

Yes

Parent organization

NORTH SHORE PHYSICIANS GROUP, LLCAs reported in NPPES

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

Authorized official

Name

John E. Croghan, MD

Title

President

Phone

(847) 251-1500

Specialties & licenses 1

Addresses

Part of

North Shore Phys Group

Locations

Practitioners 3

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

• Elizabeth Anderson Anderson Parks, MD

  • Internal Medicine Physician
  • Wilmette, IL
  • NPI 1912940552

  Internal Medicine

  NPD (past)
• Jeffrey A. Olson, M.D,

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1952374795

  Internal Medicine

  NPD (past)
• Jennifer Elizabeth Olson, MD

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1932202991

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1679743199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE. 113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-769-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE. 113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-769-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICIANS GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE PHYSICIANS GROUP, LLC",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CROGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-251-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Maternal & Child Medical Group, P.C.
• North Shore Medical Supplies Co
• North Shore Medical Transportation LLC
• North Shore Optical Inc.
• North Shore Optical Inc.
• North Shore Psychotherapy, PLLC
• North Shore Smile Studio LLC
• North Side Audiology Group, Inc.
• North Side Neurology SC
• North Star Clinical Therapy PLLC

• All providers in Chicago, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.