Asmsc-Morton Grove Il SC
Asmsc-Morton Grove Il SC is a Dermatology Physician in Morton Grove, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
9300 Waukegan RdMorton Grove, IL 60053-1312
Phone: (847) 299-1044
Fax: (847) 299-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Dermatopathology Physician | Taxonomy 207ND0900X |
| Dermatopathology (Pathology) Physician | Taxonomy 207ZD0900X |
Record details
| NPI number | 1679158174 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clarence Brown — Owner/Ceo/President · (269) 985-0021 |
| NPI enumerated | March 16, 2021 |
| Last updated in NPPES | March 16, 2021 |
| Certification date | March 16, 2021 |
| Mailing address | 2570 Niles Rd, Saint Joseph, MI 49085-3203 |