NPI 1710140496

Northshore University Healthsystem Faculty Practice Associates

Organisation Diagnostic Radiology Physician Evanston, IL

Practice location

Address: 2650 Ridge Ave Dept of Radiology, G507, Evanston, IL 60201-1718
Phone: (847) 570-2553

Authorised official

Name: Joseph Golbus
Title: President
Phone: (847) 570-2503

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0000646 (IL)

Other Radiology providers in Illinois →

Registry record

NPI: 1710140496
Entity type: Organization
NPI issued: 3 Jul 2008
Record last updated: 11 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.