Organization · Type 2 NPI
Northshore University Healthsystem Faculty Practice Associates
Diagnostic Radiology Physician · Evanston, IL
NPI number
1710140496
Active
Practice location
2650 Ridge Ave, Dept Of Radiology, G507
Evanston, IL 60201-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 0000646 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1710140496
Northshore University Healthsystem Faculty Practice Associates's National Provider Identifier is 1710140496, issued on Jul 3, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Evanston, IL. The record was last updated on May 11, 2015.