Cosmetic Dermatology&surgerypc
Cosmetic Dermatology&surgerypc is a Procedural Dermatology Physician in Olympia Fields, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2605 Lincoln HwyOlympia Fields, IL 60461-1846
Phone: (708) 481-9370
Fax: (708) 481-9369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X |
|---|
Record details
| NPI number | 1629260039 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vladimir Panine — Owner · (708) 481-9370 |
| NPI enumerated | August 10, 2007 |
| Last updated in NPPES | September 12, 2007 |
| Mailing address | 2605 Lincoln Hwy, Olympia Fields, IL 60461-1846 |