Organization
NORTH SHORE SURGICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK NOLAN HILL M.D. (PRESIDENT)
(847) 918-9420
Entity
Organization
Contact information
Practice address
1900 HOLLISTER DR, SUITE # 210, LIBERTYVILLE, IL 60048-5233
(847) 918-9420
(847) 918-9494
Mailing address
1900 HOLLISTER DR, SUITE # 210, LIBERTYVILLE, IL 60048-5233
(847) 918-9420
(847) 918-9494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205829801
PERSONAL TYPE I NPI #
IL
Enumeration date
09/01/2006
Last updated
08/22/2020
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