CHICAGO COSMETIC SURGERY AND DERMATOLOGY SC

CHICAGO, IL
NPI1407068000
Entity TypeOrganization
Authorized ContactCAROLYN JACOB
Medical Director
312-245-9965
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036-102098)
Enumeration Date2007-05-04
Last Update Date2019-07-18
Business Address
CHICAGO COSMETIC SURGERY AND DERMATOLOGY SC
515 N STATE ST STE 900
CHICAGO, IL 60654-9104
Phone number: 312-245-9965
Mailing Address
CHICAGO COSMETIC SURGERY AND DERMATOLOGY SC
515 N STATE ST STE 900
CHICAGO, IL 60654-9104
Phone number: 312-245-9965
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