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NPI Code Detail

MEDICARE: NORTH SHORE NAPRAPATHICS

MEDICARE: NORTH SHORE NAPRAPATHICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172P00000XNaprapath181-000162IL

General Provider Information

NPI Number : 1275707390
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH SHORE NAPRAPATHICS
Provider Business Mailing Address
First Line : 3930 WASHINGTON ST
Second Line : SUITE B
City : GURNEE
State : IL
Zip : 60031-5702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3930 WASHINGTON ST
Second Line : SUITE B
City : GURNEE
State : IL
Zip : 60031-5702
Country : US
Telephone Number : 847-244-3536
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. DAVE WILLIAMS
Credential :
Telephone Number : 224-715-8581
Provider Enumeration Date : 04/18/2008
Last Update Date : 11/18/2011

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Directions to “NORTH SHORE NAPRAPATHICS ” Practice Location

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