Provider Demographics
NPI:1578081550
Name:NORTHSHORE MEDICAL CONSULTANTS, LTD
Entity Type:Organization
Organization Name:NORTHSHORE MEDICAL CONSULTANTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-244-6900
Mailing Address - Street 1:1425 N HUNT CLUB RD STE 302
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2639
Mailing Address - Country:US
Mailing Address - Phone:184-244-6900
Mailing Address - Fax:847-244-6993
Practice Address - Street 1:1425 HUNT CLUB RD. #302
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031
Practice Address - Country:US
Practice Address - Phone:184-244-6900
Practice Address - Fax:847-244-6993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty