# NORTH SHORE DENTISTRY FOR CHILDREN

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

## Provider details

- **NPI number:** 1396875662
- **Authorized official:** TRACY CARLSON HALL (OFFICE MANAGER)
- **Authorized official phone:** (847) 869-5417

## Contact information

- **Practice address:** 1560 SHERMAN AVE, SUITE 610, EVANSTON, IL 60201-4818
- **Practice address phone:** (847) 869-5417
- **Mailing address:** 1560 SHERMAN AVE, SUITE 610, EVANSTON, IL 60201-4818
- **Mailing address phone:** (847) 869-5417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | IL | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020