| NPI | 1891021457 |
|---|---|
| Doing Business As | NORTHSHORE LASER |
| Entity Type | Organization |
| Authorized Contact | ABDULMASSIH ABDULMASSIH CFO 847-673-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |