| NPI | 1396058988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN MALONEY Owner 630-443-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036071349) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2023-03-23 |