North Shore Primary Care S.c. - Medicare Primary Care in Libertyville, IL

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North Shore Primary Care S.c. is a medicare enrolled primary clinic (Internal Medicine) in Libertyville, Illinois. The current practice location for North Shore Primary Care S.c. is 1900 Hollister Dr Ste 250, Libertyville, Illinois. For appointments, you can reach them via phone at (847) 573-9663. The mailing address for North Shore Primary Care S.c. is 1900 Hollister Dr Ste 250, Libertyville, Illinois and phone number is (847) 573-9663.

North Shore Primary Care S.c. is licensed to practice in Illinois (license number 036101407). The clinic also participates in the medicare program and its NPI number is 1659563831. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (847) 573-9663.

Contact Information

North Shore Primary Care S.c.
1900 Hollister Dr Ste 250
Libertyville
IL 60048-5249
(847) 573-9663
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameNorth Shore Primary Care S.c.
SpecialityInternal Medicine
Location1900 Hollister Dr Ste 250, Libertyville, Illinois
Authorized Official Name and PositionShana Weiss (PHYSICIAN)
Authorized Official Contact8475739663
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
North Shore Primary Care S.c.
1900 Hollister Dr Ste 250
Libertyville
IL 60048-5249

Ph: (847) 573-9663		North Shore Primary Care S.c.
1900 Hollister Dr Ste 250
Libertyville
IL 60048-5249

Ph: (847) 573-9663

NPI Details:

NPI Number1659563831
Provider Enumeration Date08/13/2007
Last Update Date01/04/2017

Medicare PECOS Information:

Medicare PECOS PAC ID6204925415
Medicare Enrollment IDO20071211000064

Medical Identifiers

Medical identifiers for North Shore Primary Care S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659563831NPI-NPPES
036101407MedicaidIL
04932188OtherILBCBS PROVIDER ID#
H69159OtherILUPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036101407 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. North Shore Primary Care S.c. acts as a billing entity for following providers:
Provider NameCynthia Susan Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134149115
PECOS PAC ID: 0648175877
Enrollment ID: I20031202000052
Provider NameEllen K Verlen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881875235
PECOS PAC ID: 0840388369
Enrollment ID: I20071116000649
Provider NameShana E Weiss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932149945
PECOS PAC ID: 9436248275
Enrollment ID: I20071203000226
Provider NameJames G Nikolakakis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801968805
PECOS PAC ID: 6305880212
Enrollment ID: I20100809000733
Provider NameNancy Chodash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346371051
PECOS PAC ID: 1153566989
Enrollment ID: I20130328000036
Provider NameVictoria A Butur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861063992
PECOS PAC ID: 4284011438
Enrollment ID: I20220510001021
Provider NamePaulina Kluchka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487439907
PECOS PAC ID: 6002269388
Enrollment ID: I20240202001803

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.