Organization
PULMONARY PHYSICIANS OF THE NORTH SHORE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN REED (BUSINESS MANAGER)
(847) 236-1300
Entity
Organization
Contact information
Practice address
2151 WAUKEGAN RD, SUITE 110, BANNOCKBURN, IL 60015-1885
(847) 236-1300
(847) 236-9549
Mailing address
2151 WAUKEGAN RD, SUITE 110, BANNOCKBURN, IL 60015-1885
(847) 236-1300
(847) 236-9549
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
042005278
IL
207RP1001X
Pulmonary Disease Physician
Primary
042005278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042005278
STATE LICENSE
IL
Enumeration date
12/02/2005
Last updated
08/09/2010
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