North Shore Adolescent Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A-5256-0001-A Issued in IL

Legal business name

NORTH SHORE ADOLESCENT RECOVERY CENTER

Practice address

211 Waukegan Rd
Suite 100
Northfield, IL 60093-2757

Phone

(847) 446-2270

Fax

(847) 446-2172

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Edwards Even

Title

Executive Director

Phone

(847) 446-2270

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Charles Ponziano Jr., A.A.S. C.A.D.C.

  • Counselor
  • Northfield, IL
  • NPI 1427297787
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1811133671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WAUKEGAN RD",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932757",
            "telephone_number": "847-446-2270",
            "fax_number": "847-446-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WAUKEGAN RD",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932757",
            "telephone_number": "847-446-2270",
            "fax_number": "847-446-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ADOLESCENT RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "EVEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-446-2270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-5256-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Foundation Center, Inc,
• New Trier High School
• Tamara Nicklas, LMT
• Nicole Rose PLLC
• Adam Nielander
• North Shore Center for Facial Plastic and Cosmetic Surgery
• North Shore Counseling and Psychotherapy
• North Shore Physicians Group, LLC
• North Shore Senior Center
• North Shore Vascular Associates LTD

• Community/Behavioral Health Agency in Northfield, IL
• Providers in Northfield, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.