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NORTH SHORE GASTROENTEROLOGY SC NPI 1821104019


NPI Information

NPI: 1821104019
Provider Name: NORTH SHORE GASTROENTEROLOGY SC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 14D0414146

Address:
4711 GOLF RD
SUITE 500
SKOKIE, IL
ZIP 60076
Phone: (847) 677-1170
Get Directions

NORTH SHORE GASTROENTEROLOGY SC is a gastroenterology internal medicine in Skokie, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NORTH SHORE GASTROENTEROLOGY SC NPI is 1821104019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4711 GOLF RD
SUITE 500
SKOKIE, IL
ZIP 60076
Phone: (847) 677-1170
Fax: (847) 677-1233

The provider's authorized official is Alan B Shapiro .
The authorized official title is Vice President and has the following contact phone number (847) 677-1170.

The CLIA number assigned to this NPI record is 14D0414146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 11/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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