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Organization
PATHOLOGY CONSULTANTS OF THE NORTH SHORE, S.C.
Active
Organization
PATHOLOGY CONSULTANTS OF THE NORTH SHORE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE REICH M.D. (PRESIDENT)
(847) 676-2787
Entity
Organization
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 676-2787
Mailing address
PO BOX 88641, CHICAGO, IL 60680-1641
(847) 676-2787
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623455
BLUE CROSS BLUE SHIELD
IL
01
—
CG8321
RAILROAD MEDICARE
IL
Enumeration date
07/12/2006
Last updated
01/29/2010
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