| NPI | 1932437290 |
|---|---|
| Doing Business As | MD SKINCENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW I. JUN President 815-484-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207Y00000X Otolaryngology | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2023-01-30 |