| Organization Name: | NORTHSHORE UNIVERSITY HEALTHSYSTEM |
| NPI Number: | 1780626812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY E WEISS (EXECUTIVE VP & TREASURER) |
| Mailing Address: | 4901 Searle Pkwy Suite 160 Skokie |
| State: | IL US |
| Postal Code: | 600775313 |
| Phone Number: | 8474752001 |
| Fax Number: | 8473280867 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2001709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |