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Organization
NORTH SHORE PHYSICIANS GROUP, LLC
Active
Organization
NORTH SHORE PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E CROGHAN MD (AUTHORIZED REPRESENTATIVE)
(847) 251-1500
Entity
Organization
Contact information
Practice address
2500 RIDGE AVE, STE 305, EVANSTON, IL 60201-2455
(847) 869-1192
Mailing address
2500 RIDGE AVE, STE 305, EVANSTON, IL 60201-2455
(847) 869-1192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
07/11/2007
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