NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
NPI 1497701882
Emergency Medicine in Evanston, IL
NPI Status: Active since May 26, 2006
- Organization
- Emergency Medicine
- Accepts Insurance
- CLIA Number: 14D2316487
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-06-2027
About NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
This page provides the complete NPI Profile along with additional information for Northshore University Healthsystem Faculty Practice Associates, a provider established in Evanston, Illinois operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1497701882 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Northshore University Healthsystem Faculty Practice Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Northshore University Healthsystem Faculty Practice Associates. The authorized official of this NPI record is Dr. Neil S. Freedman (President)
- NPI
- 1497701882
- Provider Legal Name
- ENDEAVOR HEALTH MEDICAL GROUP
- Other Organization Name
- NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1000 CENTRAL ST EVANSTON, IL 60201
- Location Phone
- (847) 570-5235
- Mailing Address
- 1000 CENTRAL ST EVANSTON, IL 60201
- Mailing Phone
- (847) 570-5235
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2006
- Last Update Date
- 05-22-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 7 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 8 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 9 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 10 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 11 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 12 | 207ZB0001X | Allopathic & Osteopathic Physicians | Pathology | |
| 13 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 14 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic Standard (Choice) - HMO
- Gold Classic Standard (Choice) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Simple Diabetes (Choice) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DB1601 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| DB3329 | OTHER (01) | MEDICARE RR PIN | |
| 1620385 | OTHER (01) | IL | BCBS GRP# |
| CC9279 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| DB8753 | OTHER (01) | MEDICARE RR PIN | |
| DB1510 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| CG7704 | OTHER (01) | MEDICARE RR PIN | |
| DB4514 | OTHER (01) | MEDICARE RR PIN | |
| DB7197 | OTHER (01) | MEDICARE RR PIN | |
| 1632989 | OTHER (01) | IL | BCBS GRP# |
| 1633266 | OTHER (01) | BCBS | |
| CG1022 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2316487
- Facility Type
- Physician Office
- Certificate Effective Date
- January 07, 2025
- Certificate Expiration Date
- January 06, 2027
- Laboratory Director
- DEBORAH MILLER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northshore University Healthsystem Faculty Practice Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 0 | 1 | 8 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 0 | 2 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 0 + 2 + 8 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497701882 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144202904 | MR. SCOTT M WEISSMAN M.S., C.G.C. Individual | Genetic Counselor, MS | 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201 (847) 570-1015 |
| 1801856836 | DR. RACHEL EVELYN STORY MD MPH Individual | Allergy & Immunology | 1000 CENTRAL ST EVANSTON, IL 60201 (847) 570-2431 |
| 1043261951 | DR. STEPHANIE ANNE ROSS PH. D. Individual | Psychologist (Clinical) | 1000 CENTRAL ST SUITE 800 EVANSTON, IL 60201 (773) 459-6756 |
| 1861444895 | SONUS-USA, INC. Organization | Audiologist-Hearing Aid Fitter | 1000 CENTRAL ST SUITE 2280 EVANSTON, IL 60201 (847) 674-5247 |
| 1467407668 | MARLA LAPPE Individual | Audiologist-Hearing Aid Fitter | 1000 CENTRAL ST STE 717 EVANSTON, IL 60201 (847) 674-5247 |
| 1477592111 | DR. WENDY S. RUBINSTEIN MD, PHD Individual | Internal Medicine | 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201 (847) 570-1029 |
| 1588605745 | GARY JACK DAVIS M.D. Individual | Internal Medicine | 1000 CENTRAL ST SUITE 640 EVANSTON, IL 60201 (847) 570-1410 |
| 1063434231 | LEWIS MICHAEL COHEN MD Individual | Internal Medicine (Rheumatology) | 1000 CENTRAL ST SUITE 800 EVANSTON, IL 60201 (847) 570-2503 |
| 1992728968 | RIMA M NASSER MD Individual | Orthopaedic Surgery | 1000 CENTRAL ST SUITE 880 EVANSTON, IL 60201 (847) 570-2825 |
| 1558375873 | THOMAS C. KEELER MD Individual | Urology | 1000 CENTRAL ST SUITE 720 EVANSTON, IL 60201 (847) 475-8600 |
| 1750456299 | EDWARD J. ZIESERL MD Individual | Pediatrics | 1000 CENTRAL ST SUITE 765 EVANSTON, IL 60201 (847) 570-1507 |
| 1871711762 | JAMIE LYNN ALLISON Individual | Speech-Language Pathologist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
| 1679774731 | AMI N. MIKHAIL PA Individual | Physician Assistant (Surgical) | 1000 CENTRAL ST DEPARTMENT OF ORTHOPAEDIC SURGERY, STE 880 EVANSTON, IL 60201 (847) 570-2825 |
| 1700087368 | ANITA JOSHUA ALEXANDER PA Individual | Physician Assistant (Surgical) | 1000 CENTRAL ST SUITE 720 EVANSTON, IL 60201 (847) 475-8600 |
| 1477739043 | NATHAN SCHAU Individual | Audiologist | 1000 CENTRAL ST SUITE 717 EVANSTON, IL 60201 (847) 674-5247 |
| 1881850824 | MARIA P. SECARAS MA, CCC-A Individual | Audiologist | 1000 CENTRAL ST SUITE 610 EVANSTON, IL 60201 (847) 570-1308 |
| 1326361692 | SANDY E. RIZO PT Individual | Physical Therapist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
| 1518280775 | LISA M. ARRIGONI OTR/L Individual | Specialist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
| 1821311267 | JULIE ANNE ROSENBERG MPT Individual | Specialist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
| 1457674962 | JULIE MALLIA BEARDSLEY MA CCCSLP Individual | Speech-Language Pathologist | 1000 CENTRAL ST 101 EVANSTON, IL 60201 (847) 570-4031 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497701882, enumerated in the NPI registry as an "organization" on May 26, 2006
The provider is located at 1000 Central St Evanston, Il 60201 and the phone number is (847) 570-5235
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2316487 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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