Organization
PATHOLOGY CONSULTANTS OF THE NORTH SHORE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE REICH M.D. (PRESIDENT)
(847) 676-2787
Entity
Organization
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 676-2787
Mailing address
PO BOX 88641, CHICAGO, IL 60680-1641
(847) 676-2787
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623455
BLUE CROSS BLUE SHIELD
IL
01
—
CG8321
RAILROAD MEDICARE
IL
Enumeration date
07/12/2006
Last updated
01/29/2010
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