Provider Demographics
NPI:1609931344
Name:NORTH SUBURBAN ASSOCIATED PHYSICIANS, INC.
Entity Type:Organization
Organization Name:NORTH SUBURBAN ASSOCIATED PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-233-7601
Mailing Address - Street 1:600 W JACKSON BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5684
Mailing Address - Country:US
Mailing Address - Phone:866-233-7601
Mailing Address - Fax:312-277-0330
Practice Address - Street 1:600 W JACKSON BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-5684
Practice Address - Country:US
Practice Address - Phone:866-233-7601
Practice Address - Fax:312-277-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization