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1548308364
NORTHSHORE MEDICAL PRACTICE LTD
DEERFIELD, IL
NPI
1548308364
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Entity Type
Organization
Authorized Contact
FANAN NIJIN FALOUJI
Owner
847-573-9006
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036096519)
Enumeration Date
2007-02-02
Last Update Date
2017-03-21
Business Address
NORTHSHORE MEDICAL PRACTICE LTD
92 RIVERSIDE DR
DEERFIELD, IL 60015-4868
Phone number: 847-573-9006
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Mailing Address
NORTHSHORE MEDICAL PRACTICE LTD
870 W END CT STE 202
VERNON HILLS, IL 60061-1378
Phone number: 847-573-9006
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