| NPI | 1518687847 |
|---|---|
| Doing Business As | NORTHSHORE |
| Entity Type | Organization |
| Authorized Contact | WESLEY CAMPIN President 847-432-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |