PURE SKINOLOGY LLC

CHICAGO, IL
NPI1649807074
Entity TypeOrganization
Authorized ContactDAVID OTHMAN
President
312-600-5826
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Additional Taxonomies207N00000X Dermatology
207ND0101X Dermatology, MOHS-Micrographic Surgery
207ND0900X Dermatology, Dermatopathology
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
207NP0225X Dermatology, Pediatric Dermatology
207NS0135X Dermatology, Procedural Dermatology
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2020-03-25
Last Update Date2020-07-15
Business Address
PURE SKINOLOGY LLC
2202 N. HALSTED ST, SUITE 1
CHICAGO, IL 60614
Phone number: 773-270-1133
Mailing Address
PURE SKINOLOGY LLC
2202 N. HALSTED ST, SUITE 1
CHICAGO, IL 60614
Phone number: 312-600-5826