NPI | 1023067964 |
---|---|
Former Legal Business Name | AESTHETIC AND CLINICAL DERMATOLOGY ASSOCIATES OF HINSDALE, LTD |
Entity Type | Organization |
Authorized Contact | SCOTT L ZAHNER President 630-455-1756 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 042007910) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2015-09-22 |