| NPI | 1609009380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LAPINSKI President 815-744-8554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2021-09-02 |