Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAHAR NIMROUZI (PHYSICIAN ASSISTANT CERTIFIED)
(773) 844-2495
Entity
Organization
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(773) 570-2000
Mailing address
5433 N FOREST GLEN AVE, CHICAGO, IL 60630-1523
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
07/23/2009
Last updated
07/21/2022
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