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NORTH SHORE PHYSICIANS GROUP PLLC
NPI 1952297731
Internal Medicine in Wilmette, IL

Active since June 17, 2025CLIA 14D2335547 · Waiver
1921 LAKE AVE STE A, WILMETTE, IL 60091(847) 464-9050 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Shore Physicians Group Pllc NPPES

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

NORTH SHORE PHYSICIANS GROUP PLLC (NPI 1952297731) is a healthcare organization registered as an internal medicine in Wilmette, Illinois and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Glynn Elliott, Provider, as its authorized official.

NPPES Registry Identity

NPI1952297731
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH SHORE PHYSICIANS GROUP PLLC
Location Address1921 LAKE AVE STE AWilmette, IL 60091-1480
Mailing Address1921 Lake Ave Ste AWilmette, IL 60091-1480 · (847) 464-9050
Phone(847) 464-9050
Organization SubpartNo
Authorized OfficialGlynn ElliottProvider · (847) 464-9050
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1952297731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1921 LAKE AVE STE A, Wilmette, IL 60091
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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

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 Physicians Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to North Shore Physicians Group PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Glynn Elliott, MD
Internal Medicine
NPI 1366481426
1921 LAKE AVE STE A
Wilmette, IL 60091
(847) 464-9050
✔ PECOS✔ Accepts MedicareSame address
Rajesh Jindal, M.D.
Internal Medicine
NPI 1184818791
1921 LAKE AVE STE A
Wilmette, IL 60091
(847) 464-9050
✔ PECOSSame address
Jonathan Maks, MD
Internal Medicine
NPI 1720033160
1921 LAKE AVE STE A
Wilmette, IL 60091
(847) 464-9050
✔ PECOS✔ Accepts MedicareSame address

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 Waiver 14D2335547

North Shore Physicians Group · Wilmette, IL
Active · expires Dec 11, 2027
CLIA Number14D2335547
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorJonathan Maks
Laboratory Phone(847) 464-9050
Laboratory LocationNorth Shore Physicians Group1921 Lake Avenue - Unit A, Wilmette, IL 60091
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 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 Physicians Group PLLC's NPI number?

The NPI number for North Shore Physicians Group PLLC is 1952297731. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is North Shore Physicians Group PLLC located?

North Shore Physicians Group PLLC is located at 1921 Lake Ave Ste A, Wilmette, IL 60091. The listed phone number is (847) 464-9050.

What is North Shore Physicians Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is North Shore Physicians Group PLLC enrolled in Medicare?

Yes. North Shore Physicians Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Physicians Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to North Shore Physicians Group PLLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Shore Physicians Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2335547) is associated with this NPI, valid through December 11, 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 Physicians Group PLLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.