Organization Active NPI

Family Doctors/Family Healthcare

Doing business as NorthShore Laser

  • Dermatology Physician
  • Skokie, IL
National Provider Identifier
1891021457
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FAMILY DOCTORS/FAMILY HEALTHCARE
Doing business as
NorthShore Laser
Practice address
7100 Carpenter Rd
Skokie, IL 60077-3279
Phone
(847) 673-5166
Fax
(847) 673-5636
NPI assigned
Nov 2, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Abdulmassih Abdulmassih, M.D.NPI 1629045778
Title
Cfo
Phone
(847) 673-5166

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
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

7100 Carpenter Rd
Skokie, IL 60077-3279

Mailing address

7100 Carpenter Rd
Skokie, IL 60077-3279
Phone (847) 673-5166

Other names 1

  • NorthShore Laser Doing business as

National Provider Directory

National Provider Directory

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": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1891021457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS/FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ABDULMASSIH",
        "authorized_official_first_name": "ABDULMASSIH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-673-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthShore Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 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.