# NORTHSHORE UNIVERSITY HEALTHSYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316177413
- **Authorized official:** MISS SAHAR NIMROUZI (PHYSICIAN ASSISTANT CERTIFIED)
- **Authorized official phone:** (773) 844-2495

## Contact information

- **Practice address:** 2650 RIDGE AVE, EVANSTON, IL 60201-1718
- **Practice address phone:** (773) 570-2000
- **Mailing address:** 5433 N FOREST GLEN AVE, CHICAGO, IL 60630-1523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | IL | Yes |

## Other

- **Enumeration date:** 07/23/2009
- **Last updated:** 07/21/2022