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1629260039
COSMETIC DERMATOLOGY&SURGERYPC
OLYMPIA FIELDS, IL
NPI
1629260039
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Entity Type
Organization
Authorized Contact
VLADIMIR V PANINE
Owner
708-481-9370
Organization Subpart ?
No
Primary Taxonomy
207NS0135X Dermatology, Procedural Dermatology
Enumeration Date
2007-08-10
Last Update Date
2007-09-12
Business Address
COSMETIC DERMATOLOGY&SURGERYPC
2605 LINCOLN HWY
OLYMPIA FIELDS, IL 60461-1846
Phone number: 708-481-9370
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Mailing Address
COSMETIC DERMATOLOGY&SURGERYPC
2605 LINCOLN HWY
OLYMPIA FIELDS, IL 60461-1846
Phone number: 708-481-9370
Copy
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