PHYSICIANS OF THE NORTH SHORE
NPI 1689881450
Nurse Practitioner in Skokie, IL

Q: What is Physicians Of The North Shore's NPI number?

The NPI number for Physicians Of The North Shore is 1689881450. It was assigned to this organization in the NPPES registry on May 17, 2007.

Q: What is Physicians Of The North Shore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 17, 2007

9555 GROSS POINT ROAD, SKOKIE, IL 60077(847) 679-3411(847) 675-7450 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Physicians Of The North Shore NPPES

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

PHYSICIANS OF THE NORTH SHORE (NPI 1689881450) is a healthcare organization registered as a nurse practitioner in Skokie, Illinois and active in the NPI registry since May 2007. The organization lists Kelly E. Dietrich, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1689881450

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePHYSICIANS OF THE NORTH SHORE

Location Address9555 GROSS POINT ROADSkokie, IL 60077

Mailing Address9555 Gross Point RoadSkokie, IL 60077 · (847) 679-3411 · Fax (847) 675-7450

Phone(847) 679-3411

Fax(847) 675-7450

Organization SubpartNo

Authorized OfficialKelly E. DietrichPractice Manager · (847) 679-3411

Enumeration DateMay 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1689881450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 20905900

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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9555 GROSS POINT ROAD, Skokie, IL 60077

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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

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 Physicians Of The North Shore's NPI number?

The NPI number for Physicians Of The North Shore is 1689881450. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Physicians Of The North Shore located?

Physicians Of The North Shore is located at 9555 Gross Point Road, Skokie, IL 60077. The listed phone number is (847) 679-3411.

What is Physicians Of The North Shore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Physicians Of The North Shore was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.