Organization Active NPI

North Shore Natural Medicine Inc.

  • Chiropractor
  • Glencoe, IL
National Provider Identifier
1740584622
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011848 Issued in IL
Legal business name
NORTH SHORE NATURAL MEDICINE INC.
Practice address
378 Park Ave
Suite 1D
Glencoe, IL 60022-1586
Phone
(217) 816-6678
Fax
(847) 563-1330
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Nathan Andrew Zimring, D.C.NPI 1962706234
Title
Co-Owner/Chiropractic Physician
Phone
(217) 816-6678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011848 IL Primary

Addresses

Primary practice location

378 Park Ave
Suite 1D
Glencoe, IL 60022-1586

Mailing address

378 Park Ave
Suite 1D
Glencoe, IL 60022-1586

National Provider Directory

National Provider Directory

Locations

378 Park Ave
Ste 1D
Glencoe, IL 60022
Phone (847) 835-4400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1740584622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 PARK AVE",
            "address_2": "SUITE 1D",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221586",
            "fax_number": "847-563-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 PARK AVE",
            "address_2": "SUITE 1D",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221586",
            "telephone_number": "217-816-6678",
            "fax_number": "847-563-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE NATURAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "ZIMRING",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "217-816-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.