NPIMap

Organization Active NPI

Gathering Valley Center

  • Clinic/Center
  • Skokie, IL
National Provider Identifier
1982745519
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
198-000104 Issued in IL
Legal business name
GATHERING VALLEY CENTER
Practice address
8019 Lincoln Ave
Skokie, IL 60077-3611
Phone
(847) 568-0849
Fax
(847) 410-2123
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Georgiy Lifshits, PH.D., L.AC.NPI 1033250659
Title
President
Phone
(847) 568-0849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 198-000104 IL Primary

Addresses

Primary practice location

8019 Lincoln Ave
Skokie, IL 60077-3611

Mailing address

8019 Lincoln Ave
Skokie, IL 60077-3611
Phone (847) 568-0849

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1982745519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "847-568-0849",
            "fax_number": "847-410-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "847-568-0849",
            "fax_number": "847-410-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERING VALLEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LIFSHITS",
        "authorized_official_first_name": "GEORGIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-568-0849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "198-000104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2008; 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.