| NPI | 1366581993 |
|---|---|
| Former Legal Business Name | JEROME M. GARDEN, M.D. |
| Entity Type | Organization |
| Authorized Contact | JEROME M GARDEN Owner 312-280-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |