Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
Active
Other names
Knox Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GOLBUS M.D. (PRESIDENT)
(847) 570-2503
Entity
Organization
Contact information
Practice address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
(847) 933-6044
Mailing address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
(847) 933-6044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0000646
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623422
BCBS
IL
01
—
DC2634
RAILROAD
IL
Enumeration date
01/28/2009
Last updated
05/11/2015
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