| NPI | 1326865353 |
|---|---|
| Doing Business As | NORTHSIDE DERMATOLOGY & LASER CENTER, S.C. |
| Entity Type | Organization |
| Authorized Contact | ANETA PEREZ Manager 847-529-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |