Physicians of the North Shore

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

20905900 Issued in IL

Legal business name

PHYSICIANS OF THE NORTH SHORE

Practice address

9555 Gross Point Road
Skokie, IL 60077

Phone

(847) 679-3411

Fax

(847) 675-7450

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly E. Dietrich, C.M.M.

Title

Practice Manager

Phone

(847) 679-3411

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J. Goldstein, M.D.

  • Internal Medicine Physician
  • Northfield, IL
  • NPI 1265401335
  NPD
• Irena Chizhik, M.D.

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1275501579
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689881450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT ROAD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-679-3411",
            "fax_number": "847-675-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT ROAD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-679-3411",
            "fax_number": "847-675-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF THE NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-679-3411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.M.M."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "20905900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHC Respiratory Services, LLC.
• Sara Philip, APN-CNP
• Sibyl Philip
• Paula Goodspeed Phillips-Biliter, L.C.S.W.
• Photini Counseling, PLLC
• Physicians of the North Shore LTD
• Pia Todras, PSYD, LLC
• Lisa M Piatigorsky, APN, NP-C
• Picc Lines Plus LLC
• Ronald Picchetti

• Nurse Practitioner in Skokie, IL
• Providers in Skokie, IL by specialty
• Nurse Practitioner 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.