North Shore Physicians Group, LLC

NPI #1619201894 in Northfield, Illinois

Provider Information

NPI Number: 1619201894
Entity Type: Organization
Organization Name: North Shore Physicians Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH SHORE PHYSICIANS GROUP, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 22, 2009
Last Updated: Sep 22, 2009

Practice Location

Address: 310 HAPP RD
Address 2: SUITE 207
City: Northfield
State: Illinois
ZIP Code: 60093-3455
Phone: (847) 784-5200

Authorized Official

Name: DR. JOHN E CROGHAN, M.D.
Title: PHYSICIAN/PRESIDENT
Phone: (847) 251-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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