Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
Active
Other names
NorthShore Pathology Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS ANNE WASHA CPA (SENIOR DIRECTOR, FINANCE)
(847) 570-5230
Entity
Organization
Contact information
Practice address
2650 RIDGE AVE, RM 1922B, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
2650 RIDGE AVE, RM 1922B, EVANSTON, IL 60201-1718
(847) 570-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
05/11/2015
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