Physicians of the North Shore
NPI 1689881450ActiveOrganization· Nurse Practitioner· Skokie, IL
Nurse Practitioner in Skokie, Illinois, registered in NPPES in May 2007. The authorized official on file is Kelly E. Dietrich, C.M.M., Practice Manager.
Overview
| NPI | 1689881450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 20905900 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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