Organization Active NPI

North Shore Consultants in Nephrology & Hypertension, SC

  • Nephrology Physician
  • Evanston, IL
National Provider Identifier
1821237017
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036099773 Issued in IL
Legal business name
NORTH SHORE CONSULTANTS IN NEPHROLOGY & HYPERTENSION, SC
Practice address
2859 Central St
Suite 133
Evanston, IL 60201-1234
Phone
(630) 607-5871
Fax
(630) 628-9610
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
George C Kim, MD
Title
President
Phone
(630) 607-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 036099773 IL Primary

Addresses

Primary practice location

2859 Central St
Suite 133
Evanston, IL 60201-1234

Mailing address

28 W Lake St
Suite 14
Addison, IL 60101-2709
Phone (630) 607-5871

National Provider Directory

National Provider Directory

Locations

28 W Lake St
Ste 14
Addison, IL 60101

2953 Central St
Fl 1
Evanston, IL 60201
Phone (847) 869-9436

1000 Central St
Ste 725
Evanston, IL 60201
Phone (847) 475-2500

2859 Central St
Ste 133
Evanston, IL 60201
Phone (630) 607-5871

7301 N Lincoln Ave
Ste 205
Lincolnwood, IL 60712
Phone (847) 329-7779

9801 Woods Dr
Skokie, IL 60077
Phone (847) 581-1620

Practitioners & affiliated clinicians

Practitioners 2

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1821237017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W LAKE ST",
            "address_2": "SUITE 14",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012709",
            "telephone_number": "630-607-5871",
            "fax_number": "630-628-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 CENTRAL ST",
            "address_2": "SUITE 133",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011234",
            "telephone_number": "630-607-5871",
            "fax_number": "630-628-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CONSULTANTS IN NEPHROLOGY & HYPERTENSION, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-607-5871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036099773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.