NPI | 1083755474 |
---|---|
Doing Business As | NORTH STAR MEDICAL CENTER LTD |
Entity Type | Organization |
Authorized Contact | DANIEL S BERGER Medical Director 773-296-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |