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Organization
NORTH SHORE PHYSICIANS GROUP, LLC
Active
Organization
NORTH SHORE PHYSICIANS GROUP, LLC
Active
Parent organization
NORTH SHORE PHYSICIANS GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH SHORE PHYSICIANS GROUP, LLC
Authorized official
DR. JOHN E CROGHAN M.D. (PHYSICIAN/PRESIDENT)
(847) 251-1500
Entity
Organization
Contact information
Practice address
2614 PATRIOT BLVD, SUITE A, GLENVIEW, IL 60026-8024
(847) 729-8833
Mailing address
1625 SHERIDAN RD, WILMETTE, IL 60091-1824
(847) 251-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072943
IL
Other
Enumeration date
06/12/2009
Last updated
03/15/2011
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