VILLAGE DERMATOLOGY, SC

WILMETTE, IL
NPI1518210327
Entity TypeOrganization
Authorized ContactCECELIA H RICKETTS
Owner
847-920-9177
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IL  042619944)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
VILLAGE DERMATOLOGY, SC
401 LINDEN AVE
WILMETTE, IL 60091-2844
Phone number: 847-920-9177
Mailing Address
VILLAGE DERMATOLOGY, SC
401 LINDEN AVE
WILMETTE, IL 60091-2844
Phone number: 847-920-9177
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