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General NPI Number Information
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NPI Number | 1194635953
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Entity Type | Organization
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Legal Business Name | NORTH SHORE MATERNAL & CHILD MEDICAL GROUP, P.C.
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 6200 N HIAWATHA AVE STE 260
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City | CHICAGO
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State | IL
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Zip | 60646-4314
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Country | US
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Telephone | 847-220-4192
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 N HIAWATHA AVE STE 260
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City | CHICAGO
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State | IL
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Zip | 60646-4314
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Country | US
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Telephone | 847-220-4192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATIE MCCABE
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Credential | MD, FAAP
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Telephone | 313-682-0631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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