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1982777231
CRYSTAL LAKE DERMATOLOGY SC
CRYSTAL LAKE, IL
NPI
1982777231
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Entity Type
Organization
Authorized Contact
JAMIE SO-YUNG CHIN
Physician
815-477-9858
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-11-16
Last Update Date
2013-07-29
Business Address
CRYSTAL LAKE DERMATOLOGY SC
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Phone number: 815-477-9867
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Mailing Address
CRYSTAL LAKE DERMATOLOGY SC
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Phone number: 815-477-9867
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