| NPI | 1245577667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRENT PHILLIPS President / CEO 312-371-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 36-087861) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-07-18 |