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

Northshore University Healthsystem Faculty Practice Associates

Organization Allergy & Immunology Physician · NPI 1497483325

Northshore University Healthsystem Faculty Practice Associates is an Allergy & Immunology Physician in Evanston, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
15
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Practice location Address checks out

1000 Central St
Evanston, IL 60201-1777
Phone: (847) 570-5270
Fax: (847) 570-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Anesthesiology Physician Taxonomy 207L00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Neurological Surgery Physician Taxonomy 207T00000X
Nuclear Medicine Physician Taxonomy 207U00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Blood Banking & Transfusion Medicine Physician Taxonomy 207ZB0001X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1497483325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Bradford — Avp · (847) 570-2041
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 4, 2022
Mailing address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700

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