Northshore University Healthsystem Faculty Practice Associates in Evanston - Diagnostic Radiology
Northshore University Healthsystem Faculty Practice Associates - NPI 1710140496
Northshore University Healthsystem Faculty Practice Associates is a Diagnostic Radiology in Evanston, Illinois. Northshore University Healthsystem Faculty Practice Associates practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Northshore University Healthsystem Faculty Practice Associates is 1710140496. The last update date is 2015-05-11.
Northshore University Healthsystem Faculty Practice Associates's current location address is 2650 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8475702553. The mailing address for Northshore University Healthsystem Faculty Practice Associates is 2650 Ridge Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northshore University Healthsystem Faculty Practice Associates |
|---|---|
| Address | 2650 Ridge Ave, Evanston, Illinois |
| Phone Number | 8475702553 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Golbus Joseph |
| Telephone Number | 8475702503 |
NPI Number Detail
| NPI Number | 1710140496 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2015-05-11 |
Provider Mailing Address Detail
| Address | 2650 Ridge Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602011718 |
| Phone Number | 8475702553 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 646 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1632065 | IL | BCBS | |
| DA8052 | IL | RAILROAD |
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What is the unique identification code assigned to Northshore University Healthsystem Faculty Practice Associates by the Centers for Medicare & Medicaid Services?
The Northshore University Healthsystem Faculty Practice Associates has been issued the NPI (National Provider Identifier) 1710140496. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Northshore University Healthsystem Faculty Practice Associates?
The Northshore University Healthsystem Faculty Practice Associates is situated at 2650 Ridge Ave, in the city of Evanston, state of IL, with the zip code 602011718.
What is the Northshore University Healthsystem Faculty Practice Associates's specialty and taxonomy code?
The Northshore University Healthsystem Faculty Practice Associates's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did Northshore University Healthsystem Faculty Practice Associates receive its 1710140496 assignment from the Centers for Medicare & Medicaid Services?
The Northshore University Healthsystem Faculty Practice Associates was assigned its 1710140496 on 2008-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Northshore University Healthsystem Faculty Practice Associates most recently updated or refreshed?
The details pertaining to the Northshore University Healthsystem Faculty Practice Associates, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-11.