Dermatology & Skin Surgery Associates, SC
Dermatology & Skin Surgery Associates, SC is a Dermatology Physician in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
19639 S Lagrange RdMokena, IL 60448
Phone: (708) 478-3530
Fax: (708) 478-3537
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036073727 (IL) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 036109235 (IL) |
Record details
| NPI number | 1245342633 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donna Stockton — President · (708) 478-3530 |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | May 18, 2011 |
| Mailing address | 19639 S Lagrange Rd, Mokena, IL 60448 |