NPI | 1356517221 |
---|---|
Other Name | EVANSTON CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS DUNIGAN President, Children's Physician Grp 414-266-7615 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-06-17 |