North Shore Physicians Group, Llc in Wilmette - Specialist
North Shore Physicians Group, Llc - NPI 1952369217
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 1952369217. The last update date is 2007-07-11.
North Shore Physicians Group, Llc's current location address is 1625 Sheridan Rd, Wilmette, Illinois. You can contact this provider via phone number 8472511500. The mailing address for North Shore Physicians Group, Llc is 1625 Sheridan Rd, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Physicians Group, Llc |
|---|---|
| Address | 1625 Sheridan Rd, Wilmette, Illinois |
| Phone Number | 8472511500 |
| 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 | 1952369217 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 1625 Sheridan Rd |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600911824 |
| Phone Number | 8472511500 |
| 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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What is the unique 10-digit identifier code issued to North Shore Physicians Group, Llc by the Centers for Medicare & Medicaid Services?
The North Shore Physicians Group, Llc has been assigned the NPI (National Provider Identifier) 1952369217 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the North Shore Physicians Group, Llc located?
The North Shore Physicians Group, Llc is located at 1625 Sheridan Rd, Wilmette, IL 600911824.
What is the North Shore Physicians Group, Llc's area of specialization and corresponding taxonomy classification?
The North Shore Physicians Group, Llc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952369217 to North Shore Physicians Group, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1952369217 to North Shore Physicians Group, Llc on 2006-05-03.
As of what date were the details related to North Shore Physicians Group, Llc most recently updated or revised?
The information pertaining to North Shore Physicians Group, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-11.