MEDICARE: NORTH SHORE MRI CENTRE

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	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1616983	OTHER	IL	BC/BS OF ILLINOIS

General Provider Information

NPI Number	:	1508859349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SHORE MRI CENTRE

Provider Business Mailing Address
First Line	:	9600 GROSS POINT RD
Second Line	:	SUITE A
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	847-933-3586
Fax Number	:	847-677-9625

Provider Business Practice Location Address
First Line	:	9600 GROSS POINT RD
Second Line	:	SUITE A
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	847-933-3586
Fax Number	:	847-677-9625

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE SUPERVISOR
Name	:	MS. DAWN M PFLAUMER
Credential	:
Telephone Number	:	847-933-3586

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1154397636 — KIMBERLY A. BERKI PA-C
Practice Location Address:

9600 GROSS POINT RD
SKOKIE, IL
60076-1214

Practice Phone: 847-933-6550
Practice Fax: 847-933-6260

1144475435 — DR. MATTHEW CO D.O.
Practice Location Address:

9650 GROSS POINT RD
SKOKIE, IL
60076-1214

Practice Phone: 847-503-4249
Practice Fax:

1073201844 — CHASE ANDREW HALL PA-C
Practice Location Address:

9600 GROSS POINT RD
SKOKIE, IL
60076-1214

Practice Phone: 847-677-9600
Practice Fax: 847-933-6260

1639174717 — MR. WILLIAM DEANS CRNA
Practice Location Address:

9600 GROSS POINT RD
SKOKIE, IL
60076-1214

Practice Phone: 847-933-6909
Practice Fax: 847-933-3829

1205838828 — SKOKIE VALLEY RADIOLOGIST
Practice Location Address:

9600 GROSS POINT RD
SKOKIE, IL
60076-1214

Practice Phone: 847-933-6111
Practice Fax: 847-677-9625

1700879566 — GARY J NOVETSKY M.D.
Practice Location Address:

9600 GROSS POINT RD , SUITE A
SKOKIE, IL
60076-1214

Practice Phone: 847-933-6111
Practice Fax: 847-933-6113

Directions to “NORTH SHORE MRI CENTRE ” 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.