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1144499369
ADVANCED DERMATOLOGY CENTER, S.C.
FOREST PARK, IL
NPI
1144499369
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Entity Type
Organization
Authorized Contact
BELMINA MICHAEL
Owner
708-771-4171
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2008-02-21
Last Update Date
2008-02-21
Business Address
ADVANCED DERMATOLOGY CENTER, S.C.
7318 MADISON ST
FOREST PARK, IL 60130-3100
Phone number: 708-771-4171
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Mailing Address
ADVANCED DERMATOLOGY CENTER, S.C.
7318 MADISON ST
FOREST PARK, IL 60130-3100
Phone number: 708-771-4171
Copy
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BELMINA MICHAEL