Physicians Of The North Shore in Skokie - Nurse Practitioner
Physicians Of The North Shore - NPI 1689881450
Physicians Of The North Shore is a Nurse Practitioner in Skokie, Illinois. Physicians Of The North Shore practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Physicians Of The North Shore is 1689881450. The last update date is 2020-08-22.
Physicians Of The North Shore's current location address is 9555 Gross Point Road, Skokie, Illinois. You can contact this provider via phone number 8476793411 and fax number 8476757450. The mailing address for Physicians Of The North Shore is 9555 Gross Point Road, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physicians Of The North Shore |
|---|---|
| Address | 9555 Gross Point Road, Skokie, Illinois |
| Phone Number | 8476793411 |
| Fax Number | 8476757450 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Dietrich E. Kelly |
| Credentials | C.M.M. |
| Telephone Number | 8476793411 |
NPI Number Detail
| NPI Number | 1689881450 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9555 Gross Point Road |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 60077 |
| Phone Number | 8476793411 |
| Fax Number | 8476757450 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 20905900 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Physicians Of The North Shore by the Centers for Medicare & Medicaid Services?
The Physicians Of The North Shore has been issued the NPI (National Provider Identifier) 1689881450, which 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 Physicians Of The North Shore?
The Physicians Of The North Shore is situated at 9555 Gross Point Road, in the city of Skokie, state of IL, with the zip code 60077.
What is Physicians Of The North Shore's area of expertise and its corresponding taxonomy classification?
The Physicians Of The North Shore's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
When did the Physicians Of The North Shore receive its 1689881450?
The Physicians Of The North Shore was issued its 1689881450 on 2007-05-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Physicians Of The North Shore most recently updated or revised?
The information pertaining to Physicians Of The North Shore, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.