Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Shore University Health System

Organization Internal Medicine Physician · NPI 1508141441

North Shore University Health System is an Internal Medicine Physician in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

2650 Ridge Ave
Evanston, IL 60201-1718
Phone: (847) 570-2509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125057831 (IL)

Record details

NPI number1508141441
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUniversity of Chicago Pritzker School of Medicine
Authorized official Liza Icayan — Program Director · (847) 570-2509
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 11, 2011
Mailing address9744 Dee Rd, Apt # 402, Des Plaines, IL 60016-1768

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