| NPI | 1770983801 |
|---|---|
| Doing Business As | 63 LASER & SKIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMIN MASHOUF Manager 773-284-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-03-10 |