| NPI | 1972274777 |
|---|---|
| Doing Business As | PINNACLE DERMATOLOGY, BOURBONNAIS |
| Entity Type | Organization |
| Authorized Contact | PAULA KAYE LAPINSKI Owner 815-744-8554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |