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Organization
NORTHSHORE PHYSICIANS LTD.
Active
Organization
NORTHSHORE PHYSICIANS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY P ATLAS M.D. (PRESIDENT)
(773) 588-7710
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 312, CHICAGO, IL 60659-1275
(773) 588-7710
(773) 561-8977
Mailing address
6374 N LINCOLN AVE, SUITE 312, CHICAGO, IL 60659-1275
(773) 588-7710
(773) 561-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
060-002113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001615754
BCBSIL PROVIDER NUMBER
IL
05
—
036047461
—
IL
Enumeration date
03/21/2007
Last updated
05/23/2008
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