North Shore Physicians Group, LLC

NPI #1588613632 in Wilmette, Illinois

Provider Information

NPI Number: 1588613632
Entity Type: Organization
Organization Name: North Shore Physicians Group, LLC
Primary Specialty: Specialist
Enumeration Date: May 8, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 3612 LAKE AVE
Address 2: STE. 4
City: Wilmette
State: Illinois
ZIP Code: 60091-1000
Phone: (847) 521-3850

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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