# NORTH SUBURBAN FAMILY PHYSICIANS SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Suburban Family Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740635432
- **Authorized official:** THOMAS MICHAEL MCGOWAN MD (OWNER)
- **Authorized official phone:** (224) 424-4624

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036105977 | IL | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 02/12/2019
