# NORTH SHORE PHYSICAL MEDICAL GROUP, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225386972
- **Authorized official:** DR. WALTER PHILIP DUZEY DC (OWNER/PRESIDENT)
- **Authorized official phone:** (847) 367-4900

## Contact information

- **Practice address:** 1117 S MILWAUKEE AVE, SUITE D-7, LIBERTYVILLE, IL 60048-3798
- **Practice address phone:** (847) 367-4900
- **Practice address fax:** (847) 367-4904
- **Mailing address:** 1117 S MILWAUKEE AVE, SUITE D-7, LIBERTYVILLE, IL 60048-3798
- **Mailing address phone:** (847) 367-4900
- **Mailing address fax:** (847) 367-4904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036067064 | IL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012