Organization · Type 2 NPI

Medical Surgical Dermatology, SC

Specialist · Berwyn, IL

NPI number 1316014723 Active

Practice location

3253 Harlem Ave
Berwyn, IL 60402-2996

Call (708) 788-3885 Map

Fax (708) 788-6885

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316014723

Medical Surgical Dermatology, SC's National Provider Identifier is 1316014723, issued on Nov 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berwyn, IL. The record was last updated on Aug 22, 2020.