NPI | 1306992128 |
---|---|
Doing Business As | CLEAR COMPLEXIONS RX, LTD. |
Entity Type | Organization |
Authorized Contact | HANK NICHAMIN Medical Director 847-843-0200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036078464) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036078464) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2015-12-08 |