NPI | 1497099113 |
---|---|
Doing Business As | DERMATOLOGY ASSOCIATES OF HIGHLAND PARK |
Entity Type | Organization |
Authorized Contact | JILL SUTHERLAND Practice Manager 847-432-4650 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036059380) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036062019) |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036073084) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036102194) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036111358) | |
Enumeration Date | 2012-11-19 |
Last Update Date | 2013-08-20 |