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Organization
NORTH SHORE PEDIATRICS
Active
Organization
NORTH SHORE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KAGAN (DOCTOR)
(847) 626-0303
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE STE 305, SKOKIE, IL 60077-3713
(847) 626-0303
Mailing address
9933 LAWLER AVE STE 305, SKOKIE, IL 60077-3713
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
NULL
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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