North Shore Physical Medical Group, SC
North Shore Physical Medical Group, SC is an Anesthesiology Physician in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
1117 S Milwaukee Ave Ste D-7Libertyville, IL 60048-3798
Phone: (847) 367-4900
Fax: (847) 367-4904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 036067064 (IL) |
|---|
Record details
| NPI number | 1225386972 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Duzey — Owner/President · (847) 367-4900 |
| NPI enumerated | August 28, 2012 |
| Last updated in NPPES | August 28, 2012 |
| Mailing address | 1117 S Milwaukee Ave, Suite D-7, Libertyville, IL 60048-3798 |
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