| Organization Name: | MARK DRUGS NORTHSHORE, INC |
| NPI Number: | 1144593641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG JOSEPH BATOGOWSKI (PRESIDENT) |
| Mailing Address: | 1020 Milwaukee Ave Ste 140 Deerfield |
| State: | IL US |
| Postal Code: | 600153558 |
| Phone Number: | 8474199898 |
| Fax Number: | 8474199899 |
| NPI Enumeration Date: | 02/14/2012 |
| NPI Last Update Date: | 02/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036.079383 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |