INNOVATIVE DERMATOLOGY

CHICAGO, IL
NPI1154363844
Entity TypeOrganization
Authorized ContactCANDACE M THRASH
Dermatologist
773-907-8454
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036108383)
Enumeration Date2006-06-10
Last Update Date2020-08-22
Business Address
INNOVATIVE DERMATOLOGY
5140 N CALIFORNIA AVE SUITE 660
CHICAGO, IL 60625-3645
Phone number: 773-907-8454
Mailing Address
INNOVATIVE DERMATOLOGY
5140 N CALIFORNIA AVE SUITE 660
CHICAGO, IL 60625-3645
Phone number: 773-907-8454
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