| NPI | 1073575627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA KAYE LAPINSKI Owner 815-744-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036107390) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: IL 036107390) |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-09-26 |