Provider Demographics
NPI:1164664926
Name:NORTH SHORE INTERNISTS PHYSICIANS LLC
Entity Type:Organization
Organization Name:NORTH SHORE INTERNISTS PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-635-5000
Mailing Address - Street 1:2454 E DEMPSTER ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5315
Mailing Address - Country:US
Mailing Address - Phone:847-635-5000
Mailing Address - Fax:847-635-5037
Practice Address - Street 1:2454 E DEMPSTER ST
Practice Address - Street 2:SUITE 305
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5315
Practice Address - Country:US
Practice Address - Phone:847-635-5000
Practice Address - Fax:847-635-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty