| NPI | 1215151857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A SUTHERLAND Practice Manager 847-459-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036059380) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036059380) |
| 207N00000X Dermatology (Licence: IL 036073084) | |
| 207N00000X Dermatology (Licence: IL 036102194) | |
| 207N00000X Dermatology (Licence: IL 036111358) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036059380) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036073084) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036102194) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036111358) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036073084) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036102194) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036111358) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036062019) | |
| 207R00000X Internal Medicine (Licence: IL 036062967) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-05-20 |