| North Shore Physicians Group, Llc | |
|
2500 Ridge Ave Ste 210 Evanston IL 60201-2455 | |
| (847) 491-0888 | |
| Not Available |
| Full Name | North Shore Physicians Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | John E Croghan (AUTHORIZED REP) |
| Authorized Official Contact | 8472511500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Physicians Group, Llc 2500 Ridge Ave Ste 210 Evanston IL 60201-2455 Ph: (847) 491-0888 | North Shore Physicians Group, Llc 2500 Ridge Ave Ste 210 Evanston IL 60201-2455 Ph: (847) 491-0888 |
| NPI Number | 1114964830 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114964830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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