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

Physicians of the North Shore

Organization Nurse Practitioner · NPI 1689881450

Physicians of the North Shore is a Nurse Practitioner in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

9555 Gross Point Rd
Skokie, IL 60077
Phone: (847) 679-3411
Fax: (847) 675-7450
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20905900 (IL)

Record details

NPI number1689881450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Dietrich — Practice Manager · (847) 679-3411
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9555 Gross Point Road, Skokie, IL 60077

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