| North Shore Medical Associates Ltd | |
|
2101 Waukegan Rd Ste 104 Bannockburn IL 60015-1836 | |
| (847) 317-1717 | |
| (847) 317-9305 |
| Full Name | North Shore Medical Associates Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 Waukegan Rd Ste 104, Bannockburn, Illinois |
| Authorized Official Name and Position | Gerald Jay Osher (PRESIDENT) |
| Authorized Official Contact | 8473171717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Medical Associates Ltd 2101 Waukegan Rd Ste 104 Bannockburn IL 60015-1836 Ph: (847) 317-1717 | North Shore Medical Associates Ltd 2101 Waukegan Rd Ste 104 Bannockburn IL 60015-1836 Ph: (847) 317-1717 |
| NPI Number | 1063686459 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 7315011012 |
|---|---|
| Medicare Enrollment ID | O20080729000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063686459 | NPI | - | NPPES |
| 316010188 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0031601088 | Medicaid | IL | |
| 010020197 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036066116 (Illinois) | Primary |
| Provider Name | Gerald J Osher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326056136 PECOS PAC ID: 2062586761 Enrollment ID: I20080729000578 |
| Provider Name | Sabrina K Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518371889 PECOS PAC ID: 9234423609 Enrollment ID: I20170705000786 |
| Provider Name | Brent M Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559719 PECOS PAC ID: 1557651668 Enrollment ID: I20180808000020 |
Vistalink Health Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2549 Waukegan Rd Ste 531, Bannockburn, IL 60015 Phone: 847-951-1277 | |
Deerfield Healthworks S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2525 Waukegan Rd, Bannockburn, IL 60015 Phone: 847-940-3800 | |
Northshore Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Waukegan Rd, 104, Bannockburn, IL 60015 Phone: 847-317-1717 Fax: 847-317-9304 | |
Momd Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Waukegan Rd Ste 303, Bannockburn, IL 60015 Phone: 847-595-4838 Fax: 224-487-4963 |