| NPI | 1548449580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MINTZ ROSENBAUM Physician Owner 312-664-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036065456) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2011-10-10 |