| NPI | 1649587395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BARBOSA Physician Owner 312-407-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036106254) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |