Organization
NORTH SHORE PHYSICAL MEDICAL GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER PHILIP DUZEY DC (OWNER/PRESIDENT)
(847) 367-4900
Entity
Organization
Contact information
Practice address
1117 S MILWAUKEE AVE, SUITE D-7, LIBERTYVILLE, IL 60048-3798
(847) 367-4900
(847) 367-4904
Mailing address
1117 S MILWAUKEE AVE, SUITE D-7, LIBERTYVILLE, IL 60048-3798
(847) 367-4900
(847) 367-4904
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036067064
IL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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