| NPI | 1962525154 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY AND MOHS SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHARON L. HORTON Physician 630-482-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036086692) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IL 036086692) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-03-19 |