ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1275013450- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 850 S WABASH AVE STE 200, CHICAGO, IL, 606053642
- Phone
- (847) 802-9667
- Fax
- (408) 715-4968
Specialties & Taxonomies
Dermatology
Primary License: IL #036131459