North Shore Pediatric Therapy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

NORTH SHORE PEDIATRIC THERAPY

Practice address

950 Lee St
Des Plaines, IL 60016-6532

Phone

(877) 486-4140

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Mackenzie Wright

Title

Behavior Therapist

Phone

(847) 544-8323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1689541138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MANOR LN",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166532",
            "telephone_number": "877-486-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "847-544-8323"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muqadas Noor
• Sydney Nordstrom, PA-C
• Serrenna Norlander
• North Maine Fire Protection District
• North Shore Internists Physicians LLC
• North Suburban Family Medical
• North Suburban Family Medicine LTD
• North Suburban Orthopaedic Associates LTD
• North Suburban Pain and Spine Center LLC
• Northwest Community Foot and Ankle Center LLC

• Behavior Technician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.