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NORTH SHORE PEDIATRICS NPI 1467737882


NPI Information

NPI: 1467737882
Provider Name: NORTH SHORE PEDIATRICS
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 14D0993880

Address:
9933 LAWLER AVE STE 305
SKOKIE, IL
ZIP 60077
Phone: (847) 626-0303
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NORTH SHORE PEDIATRICS is a legal medicine in Skokie, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. NORTH SHORE PEDIATRICS NPI is 1467737882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9933 LAWLER AVE STE 305
SKOKIE, IL
ZIP 60077-713
Phone: (847) 626-0303

The provider's authorized official is Tatyana Kagan .
The authorized official title is Doctor and has the following contact phone number (847) 626-0303.

The CLIA number assigned to this NPI record is 14D0993880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H25538MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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