Physicians of the North Shore

NPI #1689881450 in Skokie, Illinois

Provider Information

NPI Number: 1689881450
Entity Type: Organization
Organization Name: Physicians of the North Shore
Primary Specialty: Nurse Practitioner
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 9555 GROSS POINT ROAD
City: Skokie
State: Illinois
ZIP Code: 60077
Phone: (847) 679-3411

Authorized Official

Name: MRS. KELLY E. DIETRICH, C.M.M.
Title: PRACTICE MANAGER
Phone: (847) 679-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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