Organization
NORTHSIDE EAR, NOSE AND THROAT, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DAVID HORWITZ MD (OWNER)
(847) 674-3626
Entity
Organization
Contact information
Practice address
9669 N. KENTON AVE, SUITE 605, SKOKIE, IL 60076-1248
(847) 674-3626
(847) 674-5250
Mailing address
9669 N. KENTON AVE, SUITE 605, SKOKIE, IL 60076-1248
(847) 674-3626
(847) 674-5250
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
036050064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050064
—
IL
Enumeration date
03/31/2008
Last updated
03/07/2023
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