| NPI | 1932271210 |
|---|---|
| Doing Business As | VAN DAM DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL VAN DAM President 847-382-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 042-618596) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |