Northshore Regional Pet Scan, LLC

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

Legal business name

NORTHSHORE REGIONAL PET SCAN, LLC

Practice address

1464 Waukegan Rd
Glenview, IL 60025-2121

Phone

(847) 920-0500

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Westrich

Title

Managing Partner

Phone

(216) 292-9998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1710988423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-292-9998",
            "fax_number": "216-292-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252121",
            "telephone_number": "847-920-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE REGIONAL PET SCAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WESTRICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "216-292-9998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northfield Townshp HS Dist 225
• Northland Hearing Centers, Inc.
• Northshore Healthsystem
• Northshore Medical Supplies
• Northshore Practitioners Inc
• Northshore Surgicare
• Northshore University Healthsystem
• Northshore Universtiy Healthsystem
• Northwestern Medical Faculty Foundation
• Northwestern Medical Faculty Foundation

• Nuclear Radiology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Nuclear Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.