| Northshore Physicians Ltd. | |
|
6374 N Lincoln Ave Suite 312 Chicago IL 60659-1275 | |
| (773) 588-7710 | |
| (773) 561-8977 |
| Full Name | Northshore Physicians Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6374 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Barry P Atlas (PRESIDENT) |
| Authorized Official Contact | 7735887710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Physicians Ltd. 6374 N Lincoln Ave Suite 312 Chicago IL 60659-1275 Ph: (773) 588-7710 | Northshore Physicians Ltd. 6374 N Lincoln Ave Suite 312 Chicago IL 60659-1275 Ph: (773) 588-7710 |
| NPI Number | 1376669663 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376669663 | NPI | - | NPPES |
| 0001615754 | Other | IL | BCBSIL PROVIDER NUMBER |
| 036047461 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 060-002113 (Illinois) | Primary |
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