Gastroenterology Consultants of the North Shore
NPI 1962403212 · Gastroenterology Physician · Kenilworth, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Consultants of the North Shore is a Gastroenterology Physician organization in Kenilworth, IL (NPI 1962403212).
Provider details
- NPI number
- 1962403212
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yolandra Johnson, President(847) 256-8661
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is Gastroenterology Consultants of the North Shore's NPI number?
- Gastroenterology Consultants of the North Shore's National Provider Identifier (NPI) is 1962403212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Consultants of the North Shore?
- Gastroenterology Consultants of the North Shore is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Consultants of the North Shore located?
- Gastroenterology Consultants of the North Shore's practice location on file with NPPES is 505 Park Dr, Kenilworth, IL 60043-1082.
- What is Gastroenterology Consultants of the North Shore's phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Consultants of the North Shore is (847) 256-8661.
- Does Gastroenterology Consultants of the North Shore accept Medicare?
- Gastroenterology Consultants of the North Shore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gastroenterology Consultants of the North Shore?
- The authorized official listed on Gastroenterology Consultants of the North Shore's NPPES record is Yolandra Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Consultants of the North Shore's NPI active?
- Yes — Gastroenterology Consultants of the North Shore's NPI (1962403212) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.