Conrad Petersen Dermatology SC
Conrad Petersen Dermatology SC is a Dermatology Physician in Chicago, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2845 N SheridanChicago, IL 60657
Phone: (773) 832-7443
Fax: (773) 295-4126
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1487116240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Petersen — Owner · (314) 518-0403 |
| NPI enumerated | April 2, 2019 |
| Last updated in NPPES | March 19, 2020 |
| Certification date | March 19, 2020 |
| Mailing address | 2845 N Sheridan, Chicago, IL 60657 |
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