North Shore Physical Medical Group, Sc

NPI #1225386972 in Libertyville, Illinois

Provider Information

NPI Number: 1225386972
Entity Type: Organization
Organization Name: North Shore Physical Medical Group, Sc
Primary Specialty: Anesthesiology
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 1117 S MILWAUKEE AVE
Address 2: SUITE D-7
City: Libertyville
State: Illinois
ZIP Code: 60048-3798
Phone: (847) 367-4900

Authorized Official

Name: DR. WALTER PHILIP DUZEY, DC
Title: OWNER/PRESIDENT
Phone: (847) 367-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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