Organization
NORTHSHORE SURGICAL ASSOCIATES
Active
Other names
Synergy Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T CROWE SA-C (PRESIDENT)
(815) 990-9525
Entity
Organization
Contact information
Practice address
14970 N 2900 EAST RD, SAUNEMIN, IL 61769-6079
(815) 990-9525
Mailing address
14970 N 2900 EAST RD, SAUNEMIN, IL 61769-6079
(815) 990-9525
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
238.000084
IL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
10/20/2022
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