NPI | 1386777241 |
---|---|
Former Legal Business Name | DERMATOLOGY AND AESTHETICS OF WICKER PARK, LLC |
Entity Type | Organization |
Authorized Contact | NEHA ROBINSON Owner/ Physician 773-276-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-01-08 |