DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C.
Organization (NPI-2)
Active
Dermatology, Procedural Dermatology
Provider Information
- NPI Number
1700987328- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1124 ESSINGTON RD, JOLIET, IL, 604358423
- Phone
- (815) 744-8554
- Fax
- (815) 744-3969
Specialties & Taxonomies
Plastic Surgery
License: IL #036109103
Physician Assistant, Medical
License: IL #085002224
Dermatology, Procedural Dermatology
Primary License: IL #036108932