Northshore University Healthsystem Faculty Practice Associates

NPI #1710140496 in Evanston, Illinois

Provider Information

NPI Number
1710140496
Entity Type
Organization
Organization Name
Northshore University Healthsystem Faculty Practice Associates
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jul 3, 2008
Last Updated
May 11, 2015

Practice Location

Address
2650 RIDGE AVE
Address 2
DEPT OF RADIOLOGY, G507
ZIP Code
60201-1718
Phone
(847) 570-2553

Authorized Official

Name
DR. JOSEPH GOLBUS
Title
PRESIDENT
Phone
(847) 570-2503

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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