North Suburban Pediatrics, SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NORTH SUBURBAN PEDIATRICS, SC

Practice address

2530 Ridge Ave
Suite 201
Evanston, IL 60201-2492

Phone

(847) 869-0892

Fax

(847) 869-1070

NPI assigned

Feb 21, 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

Miss Kelly A Kirschbaum

Title

Office Manager

Phone

(847) 869-6485

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Eileen M Beaty, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1801882089
  NPD (past)
• Andrew J Bernstein, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1326034596
  NPD (past)
• Jane Bialek, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1386272086
  NPD (past)
• Shana N Christian, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1487640835
  NPD (past)
• Virginia M Depaul

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1790771129
  NPD (past)
• James L Downey II

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1982690301
  NPD (past)
• Rachel L Elwell, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1215997648
  NPD (past)
• Bryn Aleah Favakeh

  • Behavior Technician
  • Evanston, IL
  • NPI 1164155289

  Single Specialty

  NPD (past)
• Jessica Grygotis, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1982864641
  NPD (past)
• Abigail Hansell, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Evanston, IL
  • NPI 1992175541
  NPD (past)
• Kelli Nicole Hatter, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1780249003
  NPD (past)
• Benjamin Dylan Kornfeld, MD

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1275858466
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780729145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RIDGE AVE",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012492",
            "telephone_number": "847-869-0892",
            "fax_number": "847-869-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RIDGE AVE",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012492",
            "telephone_number": "847-869-0892",
            "fax_number": "847-869-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN PEDIATRICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCHBAUM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-869-6485",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore University Healthsystems Evanston Hospital
• North Star Counseling and Healing PLLC (North Sky Psychotherapy)
• North Star Psychotherapy PLLC
• North Suburban Cardiology Associates, S.C.
• North Suburban Cardiology Group, LTD
• North Suburban Ultrasound, LLC
• Roxanne Northam, CADC
• Northern Illinois Emergency Surgical Serv LTD
• Northshore Anesthesiologists
• Northshore Dental Partners, PLLC

• Pediatrics Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Pediatrics Physician 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.