Organization
NORTH SHORE ALLERGY AND ASTHMA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARTHIV S SHAH M.D. (SECRETARY TREASURER)
(847) 662-4455
Entity
Organization
Contact information
Practice address
1790 NATIONS DR, SUITE 102, GURNEE, IL 60031-9164
(847) 662-4455
(847) 662-9940
Mailing address
1790 NATIONS DR, SUITE 102, GURNEE, IL 60031-9164
(847) 662-4455
(847) 662-9940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042-003044
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049-15734
BC/BS
IL
Enumeration date
08/20/2006
Last updated
01/28/2013
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