MEDICARE: CHICAGO NORTHSHORE PSYCHOLOGISTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist	071007068	IL
2	103TC0700X	Clinical Psychologist	071006758	IL

General Provider Information

NPI Number	:	1245499979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO NORTHSHORE PSYCHOLOGISTS, INC.

Provider Business Mailing Address
First Line	:	4905 OLD ORCHARD CTR
Second Line	:	SUITE 607
City	:	SKOKIE
State	:	IL
Zip	:	60077-1458
Country	:	US
Telephone Number	:	773-259-7732
Fax Number	:

Provider Business Practice Location Address
First Line	:	4905 OLD ORCHARD CTR
Second Line	:	SUITE 607
City	:	SKOKIE
State	:	IL
Zip	:	60077-1458
Country	:	US
Telephone Number	:	773-259-7732
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. CATHERINE A KIEFT
Credential	:	PSYD
Telephone Number	:	773-259-7732

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	06/06/2008

Similar Medicare Providers

1669301214 — ARIANNA GLASCOTT
Practice Location Address:

4905 OLD ORCHARD CTR STE BLDG422
SKOKIE, IL
60077-1458

Practice Phone: 312-620-1420
Practice Fax:

1376528463 — DR. GARY B MORRIS MD
Practice Location Address:

4905 OLD ORCHARD CTR , SUITE 430
SKOKIE, IL
60077-1458

Practice Phone: 847-674-8400
Practice Fax: 847-674-8465

1508843285 — DR. EDWARD TENNER MD
Practice Location Address:

4905 OLD ORCHARD CTR , STE 430
SKOKIE, IL
60077-1458

Practice Phone: 847-674-8400
Practice Fax: 847-674-8465

1073628285 — RILEY PERRY LLOYD MD
Practice Location Address:

4905 OLD ORCHARD CTR , STE 330
SKOKIE, IL
60077-1458

Practice Phone: 847-763-7100
Practice Fax: 847-763-7102

1689880684 — DR. HOWARD STANLEY WEISBART D.D.S.
Practice Location Address:

4905 OLD ORCHARD CTR , SUITE 216
SKOKIE, IL
60077-1458

Practice Phone: 847-676-3636
Practice Fax: 847-929-4237

1437328895 — DR. ANUJ LAL MD
Practice Location Address:

4905 OLD ORCHARD CTR , LOWR LEVEL
SKOKIE, IL
60077-1458

Practice Phone: 847-679-6707
Practice Fax: 847-679-6721

Directions to “CHICAGO NORTHSHORE PSYCHOLOGISTS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.