Organization
NORTH SHORE VASCULAR ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE E GOLAN (PRACTICE MANAGER)
(847) 441-2700
Entity
Organization
Contact information
Practice address
495 CENTRAL AVE, SUITE 200, NORTHFIELD, IL 60093-3044
(847) 441-2700
(847) 441-9955
Mailing address
495 CENTRAL AVE, SUITE 200, NORTHFIELD, IL 60093-3044
(847) 441-2700
(847) 441-9955
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
IL
Other
Enumeration date
01/14/2007
Last updated
08/22/2020
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