North Shore Physicians Group, LLC

NPI #1093768228 in Winnetka, Illinois

Provider Information

NPI Number: 1093768228
Entity Type: Organization
Organization Name: North Shore Physicians Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 18, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 525 WINNETKA AVE
City: Winnetka
State: Illinois
ZIP Code: 60093-4050
Phone: (847) 501-4060

Authorized Official

Name: JOHN E CROGHAN, MD
Title: AUTHORIZED REPRESENTATIVE
Phone: (847) 251-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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