# NORTH SHORE PEDIATRICS

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

## Provider details

- **NPI number:** 1467737882
- **Authorized official:** TATYANA KAGAN (DOCTOR)
- **Authorized official phone:** (847) 626-0303

## Contact information

- **Practice address:** 9933 LAWLER AVE STE 305, SKOKIE, IL 60077-3713
- **Practice address phone:** (847) 626-0303
- **Mailing address:** 9933 LAWLER AVE STE 305, SKOKIE, IL 60077-3713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 10/17/2011