| NPI | 1528491321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEUK W YUNG CEO/Owner 773-586-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 060008763) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 060008763) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 060008763) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 060008763) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 060008763) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-12-12 |