| NPI | 1689692386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA CHOLEWA Practice Administrator 847-392-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 042000859) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-04-20 |