North Shore Physicians Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036072943 Issued in IL

Legal business name

NORTH SHORE PHYSICIANS GROUP, LLC

Practice address

2614 Patriot Blvd
Suite a
Glenview, IL 60026-8024

Phone

(847) 729-8833

NPI assigned

Jun 12, 2009

Organization subpart

Yes

Parent organization

NORTH SHORE PHYSICIANS GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Dr. John E Croghan, M.D.

Title

Physician/President

Phone

(847) 251-1500

Specialties & licenses 1

Addresses

Part of

North Shore Phys Group

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1972730331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SHERIDAN RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911824",
            "telephone_number": "847-251-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 PATRIOT BLVD",
            "address_2": "SUITE A",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-729-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICIANS GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE PHYSICIANS GROUP, LLC",
        "enumeration_date": "2009-06-12",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "CROGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "847-251-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036072943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Eye Consultants LTD
• North Shore Home Care
• North Shore Pediatric Therapy
• North Shore Pediatric Therapy
• North Shore Physicians Group, LLC
• North Shore Podiatry
• North Shore Sports Medicine and Orthopaedic Center, LTD.
• North Suburban Ophthalmologists, S.C.
• Northewestern Opthalmic Institute
• Northfield Townshp HS Dist 225

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, 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 Mar 15, 2011; 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.