Organization
NORTHSIDE NEUROSURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY M MATTHEWS (CHIEF FINANCIAL OFFICER)
(847) 990-1463
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 605, CHICAGO, IL 60657-5188
(773) 348-4333
(773) 348-2434
Mailing address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-2588
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
IL
Other
Enumeration date
10/05/2010
Last updated
06/17/2011
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