| NPI | 1902933146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA BALICH Office Manager 312-230-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 042618008) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-01-15 |