North Shore Physicians Group, Llc in Wilmette - Specialist
North Shore Physicians Group, Llc - NPI 1588613632
North Shore Physicians Group, Llc is a Specialist in Wilmette, Illinois. North Shore Physicians Group, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for North Shore Physicians Group, Llc is 1588613632. The last update date is 2007-07-11.
North Shore Physicians Group, Llc's current location address is 3612 Lake Ave, Wilmette, Illinois. You can contact this provider via phone number 8475213850. The mailing address for North Shore Physicians Group, Llc is 3612 Lake Ave, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Physicians Group, Llc |
|---|---|
| Address | 3612 Lake Ave, Wilmette, Illinois |
| Phone Number | 8475213850 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Croghan E John |
| Credentials | MD |
| Telephone Number | 8472511500 |
NPI Number Detail
| NPI Number | 1588613632 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 3612 Lake Ave |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600911000 |
| Phone Number | 8475213850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to North Shore Physicians Group, Llc by the Centers for Medicare & Medicaid Services?
The North Shore Physicians Group, Llc has been issued the NPI (National Provider Identifier) 1588613632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where North Shore Physicians Group, Llc is physically located?
The North Shore Physicians Group, Llc is situated at the following address: 3612 Lake Ave, Wilmette, IL 600911000.
What is the North Shore Physicians Group, Llc's specialty and taxonomy code?
The North Shore Physicians Group, Llc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the North Shore Physicians Group, Llc receive its 1588613632 assignment from the Centers for Medicare & Medicaid Services?
The North Shore Physicians Group, Llc was assigned its 1588613632 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the North Shore Physicians Group, Llc's information last updated?
The North Shore Physicians Group, Llc's information was last updated on 2007-07-11.
NPI Number: 1528061793
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