| NPI | 1790526812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL NEEMS PRITZKER Medical Director 847-942-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |