Organization
NORTH SHORE PATHOLOGY CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS MARIE ATKINSON MD (DIRECTOR)
(847) 316-2288
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-2284
(847) 316-2943
Mailing address
100 TRISTATE INTERNATIONAL STE 300, LINCOLNSHIRE, IL 60069-4419
(847) 205-4700
(847) 205-4477
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618679
BCBS PROVIDER NUMBER
IL
Enumeration date
04/03/2007
Last updated
08/28/2019
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