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NORTH SHORE UROGYNECOLOGY LTD
NPI 1013021922
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Park City, IL

Active since August 18, 2006CLIA 14D1056847 · Certificate of Compliance
351 GREENLEAF AVE, E, PARK CITY, IL 60085(847) 234-1100(847) 775-0703 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2021, Aug 18, 2016 (2 updates tracked since 2016).

About North Shore Urogynecology Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE UROGYNECOLOGY LTD (NPI 1013021922) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Park City, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 30, 2026 and lists Sanjay Gandhi, President, as its authorized official.

NPPES Registry Identity

NPI1013021922
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameNORTH SHORE UROGYNECOLOGY LTD
Location Address351 GREENLEAF AVE, EPark City, IL 60085-5701
Mailing Address351 Greenleaf Ave, EPark City, IL 60085-5701 · (847) 234-1100 · Fax (847) 775-0703
Phone(847) 234-1100
Fax(847) 775-0703
Organization SubpartNo
Authorized OfficialSanjay GandhiPresident · (847) 234-1100
Enumeration DateAugust 18, 2006
Last NPPES UpdateDecember 18, 20212 updates tracked since enumeration
NPPES CertifiedDecember 18, 2021
✔ NPI 1013021922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in IL · 036-101308
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036101308 (IL)
Also ListedUrologyTaxonomy 208800000X · License 036101308 (IL)
351 GREENLEAF AVE, Park City, IL 60085
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Urogynecology Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to North Shore Urogynecology Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pathology9
Urology1

Clinicians, nearest first (10)

Sanjay Gandhi, M.D.
Urology
NPI 1821149238
351 GREENLEAF AVE STE E
Park City, IL 60085
(847) 234-1100
✔ PECOS✔ Accepts MedicareSame address
Rosalind Sharain, M.D.
Pathology
NPI 1306270152
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 996-1030
✔ PECOS✔ Accepts Medicare5.8 mi
Wenhua Liu
Pathology
NPI 1366591729
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 996-1030
✔ PECOS✔ Accepts Medicare5.8 mi
Jie Song, M.D.
Pathology
NPI 1114223351
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 737-7719
✔ PECOS✔ Accepts Medicare5.8 mi
Michael Viglione, MD PHD
Pathology
NPI 1073581146
660 NORTH WESTMORELAND LAKE FOREST HOSPITAL
Lake Forest, IL 60045
(847) 234-0049
✔ PECOS7.2 mi
Shiwen Song, MD
Pathology
NPI 1538396726
1351 BARCLAY BLVD
Buffalo Grove, IL 60089
(224) 588-9940
✔ PECOS12 mi
Kimko Suzue, M.D.
Pathology
NPI 1629233408
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6725
✔ PECOS✔ Accepts Medicare36 mi
David Arps, M.D.
Pathology
NPI 1770804312
1500 E MEDICAL CENTER DRIVE 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare214 mi
Kristen Paral, M.D.
Pathology
NPI 1508177668
40 DUKE MEDICINE CIR
Durham, NC 27710
(919) 684-8815
✔ PECOS✔ Accepts Medicare650 mi
Timothy Tan, D.O.
Pathology
NPI 1205272507
2815 EASTLAKE AVE E STE 240
Seattle, WA 98102
(503) 906-7300
✔ PECOS✔ Accepts Medicare1,711 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D1056847

North Shore Urogynecology, Ltd · Park City, IL
Active · expires Oct 30, 2026
CLIA Number14D1056847
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorWenhua Liu
Laboratory Phone(847) 234-1100
Laboratory LocationNorth Shore Urogynecology, Ltd351 S Greenleaf St, Suite E, Park City, IL 60085
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Urogynecology Ltd's NPI number?

The NPI number for North Shore Urogynecology Ltd is 1013021922. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is North Shore Urogynecology Ltd located?

North Shore Urogynecology Ltd is located at 351 Greenleaf Ave E, Park City, IL 60085. The listed phone number is (847) 234-1100.

What is North Shore Urogynecology Ltd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is North Shore Urogynecology Ltd enrolled in Medicare?

Yes. North Shore Urogynecology Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Urogynecology Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to North Shore Urogynecology Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pathology (9) and Urology (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Shore Urogynecology Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D1056847) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Urogynecology Ltd was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.