| NPI | 1154505279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEH SAHIHI FIROOZI Owner Dermatologist 773-736-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 36045349) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-07-29 |