ADVANCED CLINICAL & SURGICAL DERMATOLOGY
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1861571051- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1012 95TH ST SUITE 1, NAPERVILLE, IL, 605645041
- Phone
- (630) 236-4315
- Fax
- (630) 236-4316
Specialties & Taxonomies
Dermatology
Primary License: IL #036-077825