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1881167278
ADVANCED DERMATOLOGY CLINIC, INC.
FREEPORT, IL
NPI
1881167278
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Entity Type
Organization
Authorized Contact
HARRY SHARATA
Medical Director
608-826-0285
Organization Subpart ?
Yes
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2019-01-08
Last Update Date
2020-06-10
Business Address
ADVANCED DERMATOLOGY CLINIC, INC.
1036 W STEPHENSON ST
FREEPORT, IL 61032-4865
Phone number: 888-423-7880
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Mailing Address
ADVANCED DERMATOLOGY CLINIC, INC.
6510 GRAND TETON PLZ STE 302
MADISON, WI 53719-1029
Phone number: 608-826-0285
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