NORTH SHORE PHYSICAL MEDICINE NPI 1588743405

NPI Information

NPI: 1588743405
Provider Name: NORTH SHORE PHYSICAL MEDICINE
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
241 GOLF MILL CENTER
SUITE 600
NILES, IL
ZIP 60714
Phone: (847) 699-8888
Get Directions

NORTH SHORE PHYSICAL MEDICINE is a chiropractor in Niles, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. NORTH SHORE PHYSICAL MEDICINE NPI is 1588743405. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 GOLF MILL CENTER
SUITE 600
NILES, IL
ZIP 60714
Phone: (847) 699-8888
Fax: (847) 699-8830

The provider's authorized official is Steven J Paul .
The authorized official title is Clinic Director and has the following contact phone number (847) 699-8888.

The enumeration date for this NPI number is 11/2/2006 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	License State	Primary
1	111N00000X	Chiropractor	ILLINOIS	Yes
2	111N00000X	Chiropractor	ILLINOIS	X
3	111N00000X	Chiropractor	ILLINOIS	X
4	111N00000X	Chiropractor	ILLINOIS	X
5	207R00000X	Internal Medicine	ILLINOIS	X
6	225100000X	Physical Therapist	ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01623055	OTHER	ILLINOIS	BCBS OF IL
2	DC0192	OTHER	ILLINOIS	RAILROAD MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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