MEDICAL SURGICAL DERMATOLOGY, SC

BERWYN, IL
NPI1316014723
Entity TypeOrganization
Authorized ContactDAVID H WHITNEY
President
708-788-3885
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  036-088539)
Additional Taxonomies174400000X Specialist
(Licence: IL  036-063522)
Enumeration Date2006-11-29
Last Update Date2020-08-22
Business Address
MEDICAL SURGICAL DERMATOLOGY, SC
3253 HARLEM AVE
BERWYN, IL 60402-2996
Phone number: 708-788-3885
Mailing Address
MEDICAL SURGICAL DERMATOLOGY, SC
3253 HARLEM AVE
BERWYN, IL 60402-2996
Phone number: 708-788-3885