NORTH SHORE PEDIATRICS
NPI 1467737882
Legal Medicine in Skokie, IL

Active since October 17, 2011CLIA 14D0993880 · Waiver
9933 LAWLER AVE STE 305, SKOKIE, IL 60077(847) 626-0303 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Shore Pediatrics NPPES

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

NORTH SHORE PEDIATRICS (NPI 1467737882) is a healthcare organization registered as a legal medicine in Skokie, Illinois and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Tatyana Kagan, Doctor, as its authorized official.

NPPES Registry Identity

NPI1467737882
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameNORTH SHORE PEDIATRICS
Location Address9933 LAWLER AVE STE 305Skokie, IL 60077-3713
Mailing Address9933 Lawler Ave Ste 305Skokie, IL 60077-3713
Organization SubpartNo
Authorized OfficialTatyana KaganDoctor · (847) 626-0303
Enumeration DateOctober 17, 2011
NPI 1467737882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

9933 LAWLER AVE STE 305, Skokie, IL 60077

Other Identifiers 1

Medicare UPINH25538IL

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 SINGLE 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 Waiver 14D0993880

North Shore Pediatrics · Skokie, IL
Active · expires Nov 27, 2027
CLIA Number14D0993880
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorTatyana Kagan MD
Laboratory Phone(847) 626-0303
Laboratory LocationNorth Shore Pediatrics9933 Lawler Ave - Suite 305, Skokie, IL 60077
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467737882, enumerated as an "organization" on October 17, 2011.

The provider is located at 9933 LAWLER AVE STE 305 SKOKIE, IL 60077 and the phone number is (847) 626-0303.

Legal Medicine with taxonomy code 173000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.