| NPI | 1245716042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA LLAZAR BASKO-PLLUSKA Owner 773-988-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.132089) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2021-01-15 |