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General NPI Number Information
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NPI Number | 1073786463
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Entity Type | Organization
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Legal Business Name | NORTH SHORE CONSULTANTS IN OB GYN SC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 1170 E BELVIDERE RD SUITE 102
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2061
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Country | US
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Telephone | 847-548-9999
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Fax | 847-548-8890
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Provider Business Mailing Address
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Address Line | 1170 E BELVIDERE RD SUITE 102
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2061
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Country | US
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Telephone | 847-548-9999
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Fax | 847-548-8890
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT B ROSENBERG
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Credential | MD
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Telephone | 847-548-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 036093911
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License Number State | IL
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