Organization · Type 2 NPI

Laser and Cosmetic Dermatology

Primary Care Clinic/Center · Palos Hills, IL

NPI number 1548569643 Active

Practice location

10510 S Roberts Rd
Palos Hills, IL 60465-1934

Fax (630) 706-4446

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X036087208 (IL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1548569643

Laser and Cosmetic Dermatology's National Provider Identifier is 1548569643, issued on Mar 15, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Palos Hills, IL. The record was last updated on Mar 15, 2011.