NORTHSHORE PEDIATRICS ASSOCIATESS.C. NPI 1164633699

NPI Information

  • NPI: 1164633699
  • Provider Name: NORTHSHORE PEDIATRICS ASSOCIATES,S.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 14D2162037
  • Address: 6374 N LINCOLN AVE
    SUITE 203
    CHICAGO, IL
    ZIP 60659
  • Phone: (773) 509-0023

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NPI Details

NORTHSHORE PEDIATRICS ASSOCIATES,S.C. is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHSHORE PEDIATRICS ASSOCIATES,S.C. NPI is 1164633699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6374 N LINCOLN AVE
SUITE 203
CHICAGO, IL
ZIP 60659-275
Phone: (773) 509-0023
Fax: (773) 509-1839

The provider's authorized official is Shashi Kumar .
The authorized official title is Physician and has the following contact phone number (773) 509-0023.

The CLIA number assigned to this NPI record is 14D2162037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

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: 11/21/2025

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