Organization Active NPI

Pulmonary Physicians of the North Shore LTD

  • Pulmonary Disease Physician
  • Bannockburn, IL
National Provider Identifier
1952385932
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
042005278 Issued in IL
Legal business name
PULMONARY PHYSICIANS OF THE NORTH SHORE LTD
Practice address
2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone
(847) 236-1300
Fax
(847) 236-9549
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mrs. Lynn Reed
Title
Business Manager
Phone
(847) 236-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 042005278 IL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 042005278 IL Primary

Addresses

Primary practice location

2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885

Mailing address

2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone (847) 236-1300

Other identifiers 1

IdentifierTypeStateIssuer
042005278OtherILSTATE LICENSE

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1952385932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 110",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-236-1300",
            "fax_number": "847-236-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 110",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-236-1300",
            "fax_number": "847-236-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PHYSICIANS OF THE NORTH SHORE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-236-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "042005278",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "042005278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "042005278",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.