Organization Active NPI

North Shore Women's Health, S.C.

  • Gynecology Physician
  • Skokie, IL
National Provider Identifier
1871757161
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
036071673 Issued in IL
Legal business name
NORTH SHORE WOMEN'S HEALTH, S.C.
Practice address
10024 Skokie Blvd
Suite 308
Skokie, IL 60077-1025
Phone
(847) 309-6885
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Janice L Johnson, M.D.NPI 1285640425
Title
President
Phone
(847) 309-6885

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
Gynecology Physician 207VG0400X 036071673 IL Primary

Addresses

Primary practice location

10024 Skokie Blvd
Suite 308
Skokie, IL 60077-1025

Mailing address

10024 Skokie Blvd
Suite 308
Skokie, IL 60077-1025
Phone (847) 309-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000160 IL Part B Supplier - Clinic/Group Practice 5799850467 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1087612North Shore Womens Health S C10024 Skokie Blvd, Suite 308, Skokie, IL 60077Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

10024 Skokie Blvd
Ste 308
Skokie, IL 60077
Phone (224) 233-1020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1707/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1871757161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771025",
            "telephone_number": "847-309-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771025",
            "telephone_number": "847-309-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WOMEN'S HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-309-6885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036071673",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.