Dermatology Physicians SC
Dermatology Physicians SC is a Dermatology Physician in Chicago, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
680 N Lake Shore Dr Ste 1208Chicago, IL 60611-8701
Phone: (312) 483-4397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1063978138 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Motunrayo Adisa — Owner · (773) 875-2029 |
| NPI enumerated | February 13, 2019 |
| Last updated in NPPES | March 30, 2020 |
| Certification date | March 30, 2020 |
| Mailing address | 640 N Wells St Apt 1003, Chicago, IL 60654-3958 |
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