| NPI | 1023040573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. FISHER, President 312-922-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-11-30 |