M D AESTHETICS AND DERMATOLOGY LLC

CHICAGO, IL
NPI1437678133
Entity TypeOrganization
Authorized ContactGABRIEL J. MARTINEZ-DIAZ
Medical Director/Dermatologist
312-579-0700
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036138747)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: IL  036138747)
207NS0135X Dermatology, Procedural Dermatology
(Licence: IL  036138747)
Enumeration Date2017-09-13
Last Update Date2022-07-21
Business Address
M D AESTHETICS AND DERMATOLOGY LLC
1021 W ADAMS ST LL # 1
CHICAGO, IL 60607-2934
Phone number: 312-579-0700
Mailing Address
M D AESTHETICS AND DERMATOLOGY LLC
1021 W. ADAMS ST. LL #1
CHICAGO, IL 60607
Phone number: 312-579-0700