| NPI | 1588283402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OTHMAN President And CEO 312-600-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-02-11 |