| NPI | 1932676418 |
|---|---|
| Doing Business As | DERMACARE MEDICAL GROUP |
| Doing Business As | THE CUSTOM MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEXANDAR JOVANOVICH Owner/Chief Medical Officer 847-999-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |