Advanced Skin and Mohs Surgery Center SC
Advanced Skin and Mohs Surgery Center SC is an MOHS-Micrographic Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2845 N Sheridan Rd Ste 912Chicago, IL 60657
Phone: (773) 281-0046
Fax: (773) 281-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 036096380 (IL) |
|---|
Record details
| NPI number | 1174984959 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clarence Brown — Director · (773) 294-0107 |
| NPI enumerated | March 8, 2016 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | November 5, 2020 |
| Mailing address | 2570 Niles Rd, Saint Joseph, MI 49085-3203 |
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