North Shore University Health System

NPI #1508141441 in Evanston, Illinois

Provider Information

NPI Number: 1508141441
Entity Type: Organization
Organization Name: North Shore University Health System
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF CHICAGO PRITZKER SCHOOL OF MEDICINE
Primary Specialty: Internal Medicine
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 2650 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-1718
Phone: (847) 570-2509

Authorized Official

Name: DR. LIZA ICAYAN, MD
Title: PROGRAM DIRECTOR
Phone: (847) 570-2509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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