Organization Active NPI

North Groves Internal Medicine SC

  • Internal Medicine Physician
  • Winnetka, IL
National Provider Identifier
1821179110
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH GROVES INTERNAL MEDICINE SC
Practice address
800 Oak St Ste 111
Winnetka, IL 60093-2523
Phone
(847) 784-8870
Fax
(847) 784-8876
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Nancy Chodash, NPNPI 1346371051
Title
Nurse Practitioner/Office Manager
Phone
(847) 808-8223

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

800 Oak St Ste 111
Winnetka, IL 60093-2523

Mailing address

1618 Barclay Blvd
Buffalo Grove, IL 60089-4523
Phone (847) 808-8223

Other names 1

  • WINNETKA OFFICE Other name

National Provider Directory

National Provider Directory

Locations

800 Oak St
Ste 111
Winnetka, IL 60093
Phone (847) 784-8870

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1821179110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894523",
            "telephone_number": "847-808-8223",
            "fax_number": "847-808-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST STE 111",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932523",
            "telephone_number": "847-784-8870",
            "fax_number": "847-784-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GROVES INTERNAL MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CHODASH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OFFICE MANAGER",
        "authorized_official_telephone_number": "847-808-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINNETKA OFFICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.