| NPI | 1528009826 |
|---|---|
| Doing Business As | SKIN AND HAIR CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROXANNE J. ALCANTARA Billing Manager 773-583-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036051999-1) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |