North Shore Medical, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH SHORE MEDICAL, LTD

Practice address

1780 Green Bay Rd Ste 202
Highland Park, IL 60035-3276

Phone

(847) 433-5864

Fax

(847) 433-5851

NPI assigned

Nov 13, 2006

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vern Dang, MD

Title

Vice President

Phone

(847) 433-5864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

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.

• Vuong Anh Dang-Duc, MD

  • Internal Medicine Physician
  • Highland Park, IL
  • NPI 1588630719
  Medicare reassignment Care Compare group NPD
• Heberto Z Hernandez, MD

  • Internal Medicine Physician
  • Highland Park, IL
  • NPI 1366419194
  Medicare reassignment Care Compare group NPD
• Amit Gupta, MD

  • Internal Medicine Physician
  • Elmhurst, IL
  • NPI 1205982600
  Medicare reassignment NPD
• Neil R Friedman, M.D.

  • Urology Physician
  • Wilmette, IL
  • NPI 1164487088
  NPD (past)
• Mark Jonathan Schacht, MD

  • Urology Physician
  • Evanston, IL
  • NPI 1265577621
  NPD (past)
• Uma Akkineni, M.D.

  • Hospitalist Physician
  • Bowling Green, KY
  • NPI 1043293558

  Internal Medicine

  NPD (past)
• Adil Asaduddin, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1538199708
  NPD (past)
• Jenifer Lyn Green, CNP

  • Adult Health Nurse Practitioner
  • Traverse City, MI
  • NPI 1619180064
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1972674059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 1ST ST STE 335",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353104",
            "telephone_number": "847-433-5864",
            "fax_number": "847-433-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 GREEN BAY RD STE 202",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353276",
            "telephone_number": "847-433-5864",
            "fax_number": "847-433-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "VERN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-433-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Counseling Associates
• North Shore Counseling Services, LLC.
• North Shore Ear Nose & Throat Assoc LTD
• North Shore Lactation, LLC
• North Shore Medical Services
• North Shore Nephrology LTD
• North Shore Pediatric Therapy
• North Shore SCH Dist 112
• North Shore Spinal & Sports Rehabilitation, LTD (North Shore Spinal & Sports Rehabilitation)
• North Shore Spinal & Sports Rehabilitation, LTD

• Internal Medicine Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.