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ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
NPI 1013487388
Internal Medicine - Gastroenterology in Evanston, IL

Active since November 29, 2018CLIA 14D2162518 · Certificate of Compliance
1732 CENTRAL ST, EVANSTON, IL 60201(847) 256-1855(866) 375-3001 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Nov 29, 2018 (2 updates tracked since 2018).

About Endoscopy Center Of The North Shore, Llc NPPES

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

ENDOSCOPY CENTER OF THE NORTH SHORE, LLC (NPI 1013487388) is a healthcare organization registered as a gastroenterology in Evanston, Illinois and active in the NPI registry since November 2018. The organization holds a CLIA Certificate of Compliance certificate valid through June 13, 2027 and lists Vlad Halai, Manager, as its authorized official.

NPPES Registry Identity

NPI1013487388
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameENDOSCOPY CENTER OF THE NORTH SHORE, LLC
Location Address1732 CENTRAL STEvanston, IL 60201-1508
Mailing Address1732 Central StEvanston, IL 60201-1508 · (847) 256-1855 · Fax (866) 375-3001
Phone(847) 256-1855
Fax(866) 375-3001
Organization SubpartNo
Authorized OfficialVlad HalaiManager · (847) 256-1855
Enumeration DateNovember 29, 2018
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1013487388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1732 CENTRAL ST, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 14D2162518

Endoscopy Center Of The North Shore, LLC · Evanston, IL
Active · expires Jun 13, 2027
CLIA Number14D2162518
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorShiwen Song
Laboratory Phone(847) 256-1855
Laboratory LocationEndoscopy Center Of The North Shore, LLC1732 Central St, Evanston, IL 60201
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA WANTING TSANG M.D., M.P.H.
Internal Medicine (Gastroenterology)
1732 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 256-1855
MANOJ KUMAR MEHTA MD
Internal Medicine (Gastroenterology)
1732 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 256-1855

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 Endoscopy Center Of The North Shore, LLC's NPI number?

The NPI number for Endoscopy Center Of The North Shore, LLC is 1013487388. It was assigned to this organization in the NPPES registry on November 29, 2018.

Where is Endoscopy Center Of The North Shore, LLC located?

Endoscopy Center Of The North Shore, LLC is located at 1732 Central St, Evanston, IL 60201. The listed phone number is (847) 256-1855.

What is Endoscopy Center Of The North Shore, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Endoscopy Center Of The North Shore, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D2162518) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endoscopy Center Of The North Shore, LLC was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.