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Organization
DOCTORS OF THE NORTH SHORE SC
Active
Organization
DOCTORS OF THE NORTH SHORE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PFEIFER (PRACTICE MANAGER)
(847) 967-5010
Entity
Organization
Contact information
Practice address
6131 W DEMPSTER, MORTON GROVE, IL 60053
(847) 967-5010
(847) 967-5147
Mailing address
6131 W DEMPSTER, MORTON GROVE, IL 60053
(847) 967-5010
(847) 967-5147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632926
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/21/2006
Last updated
02/04/2010
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