Organization Name: | NORTH SHORE CONSULTANTS IN OB GYN SC |
NPI Number: | 1073786463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT B ROSENBERG (PRESIDENT) |
Mailing Address: | 1170 E Belvidere Rd Suite 102 Grayslake |
State: | IL US |
Postal Code: | 600302061 |
Phone Number: | 8475489999 |
Fax Number: | 8475488890 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 036093911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |