North Shore Physicians Group, LLC

NPI #1952369217 in Wilmette, Illinois

Provider Information

NPI Number: 1952369217
Entity Type: Organization
Organization Name: North Shore Physicians Group, LLC
Primary Specialty: Specialist
Enumeration Date: May 3, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 1625 SHERIDAN RD
City: Wilmette
State: Illinois
ZIP Code: 60091-1824
Phone: (847) 251-1500

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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