| NPI | 1588730501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY S FU President 847-328-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 3648697) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 3648697) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 3648697) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-12-14 |