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Organization

NORTH SUBURBAN FAMILY PHYSICIANS SC

Active
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Organization

NORTH SUBURBAN FAMILY PHYSICIANS SC

Active
Other names
North Suburban Family Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MICHAEL MCGOWAN MD (OWNER)
(224) 424-4624
Entity
Organization

Contact information

Practice address
1256 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(224) 424-4624
(224) 424-4631
Mailing address
1252-1256 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(224) 424-4624
(224) 424-4631

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036105977
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036105977
LICENSE
IL
Enumeration date
04/29/2016
Last updated
02/12/2019
About Stedi
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