Organization
NORTH SHORE ADVANCED SURGERY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA M SHARPLESS MD (PRESIDENT)
(847) 735-0067
Entity
Organization
Contact information
Practice address
660 N WESTMORELAND RD STE 303, LAKE FOREST, IL 60045-1659
(847) 735-0067
(847) 735-1398
Mailing address
660 N WESTMORELAND RD STE 303, LAKE FOREST, IL 60045-1659
(847) 735-0067
(847) 735-1398
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
36090899
IL
Other
Enumeration date
06/21/2007
Last updated
09/23/2010
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