Active NPI
Family Doctors/Family Healthcare
Doing business as NorthShore Laser
- Dermatology Physician
- Skokie, IL
National Provider Identifier
1891021457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abdulmassih Abdulmassih, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1629045778
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.