Organization Active NPI

Physicians of the North Shore LTD

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1801960828
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036071271 Issued in IL
Legal business name
PHYSICIANS OF THE NORTH SHORE LTD
Practice address
9555 Gross Point Rd
Skokie, IL 60076-1356
Phone
(847) 679-3411
Fax
(847) 675-7450
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Steven P. Sholl, M.D.
Title
M.D.
Phone
(847) 679-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036071271 IL Primary

Addresses

Primary practice location

9555 Gross Point Rd
Skokie, IL 60076-1356

Mailing address

9555 Gross Point Rd
Skokie, IL 60076-1356
Phone (847) 679-3411

Other identifiers 1

IdentifierTypeStateIssuer
036071271OtherILSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

9555 Gross Point Rd
Skokie, IL 60076
Phone (847) 679-3411

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1801960828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "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 RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "telephone_number": "847-679-3411",
            "fax_number": "847-675-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF THE NORTH SHORE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SHOLL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "847-679-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036071271",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.