NORTH SHORE PRIMARY CARE S.C.
NPI 1659563831
Internal Medicine in Libertyville, IL
About North Shore Primary Care S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE PRIMARY CARE S.C. (NPI 1659563831) is a healthcare organization registered as an internal medicine in Libertyville, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Shana Weiss, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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 14D1013826
North Shore Primary Care Sc Shana Weiss MD · Libertyville, ILOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Primary Care S.C.'s NPI number?
The NPI number for North Shore Primary Care S.C. is 1659563831. It was assigned to this organization in the NPPES registry on August 13, 2007.
Where is North Shore Primary Care S.C. located?
North Shore Primary Care S.C. is located at 1900 Hollister Dr Ste 250, Libertyville, IL 60048. The listed phone number is (847) 573-9663.
What is North Shore Primary Care S.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does North Shore Primary Care S.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1013826) is associated with this NPI, valid through June 17, 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 North Shore Primary Care S.C. was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# North Shore Primary Care S.c. · NPI 1659563831
Internal Medicine organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since August 13, 2007.
## Identity
- **NPI:** 1659563831 (Entity type: Organization)
- **Enumerated:** August 13, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shana Weiss, PHYSICIAN
## Practice location
- **Address:** 1900 HOLLISTER DR STE 250, Libertyville, IL 60048-5249
- **Phone:** (847) 573-9663
## Record status
- **NPPES last updated:** January 4, 2017
- **Other identifiers:** Other 04932188 (IL); Other H69159 (IL); Medicaid 036101407 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659563831) · Data from the CMS NPPES public registry.