North Shore Physicians Group, LLC

NPI #1114964830 in Evanston, Illinois

Provider Information

NPI Number: 1114964830
Entity Type: Organization
Organization Name: North Shore Physicians Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 2500 RIDGE AVE
Address 2: STE 210
City: Evanston
State: Illinois
ZIP Code: 60201-2455
Phone: (847) 491-0888

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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