| NPI | 1841371184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLETTE ARA HONORE Dermatologist 312-404-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036109359) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |