North Groves Internal Medicine Sc
Internal Medicine in Winnetka, IL. Organization (NPI-2).
NPI number1821179110
StatusActive
Last updated in NPPESApr 29, 2013
Details
- NPI
- 1821179110
- Entity type
- Organization (NPI-2)
- Legal business name
- North Groves Internal Medicine Sc
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Apr 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | IL | Yes |
Other names
- Winnetka Office (Other Name)
Practice location
800 Oak St Ste 111Winnetka, IL 60093-2523
Phone 847-784-8870 · Fax 847-784-8876
Mailing address
1618 Barclay BlvdBuffalo Grove, IL 60089-4523
Phone 847-808-8223 · Fax 847-808-8276
Authorized official
Nancy Chodash
Nurse Practitioner/Office Manager
8478088223
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