NPI | 1366497554 |
---|---|
Doing Business As | SKINMD, LLC |
Entity Type | Organization |
Authorized Contact | KENNETH B BIELINSKI Medical Director 708-636-3767 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-070977) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2021-12-10 |