Innovative Dermatology
Innovative Dermatology is a Dermatology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5140 N California Ave Ste 660Chicago, IL 60625-3645
Phone: (773) 907-8454
Fax: (773) 907-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X (IL) |
|---|
Record details
| NPI number | 1154363844 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Candace Thrash — Dermatologist · (773) 907-8454 |
| NPI enumerated | June 10, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5140 N California Ave, Suite 660, Chicago, IL 60625-3645 |
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