Provider profile · NPI 1679158174

Asmsc-Morton Grove Il Sc

Dermatology · Morton Grove, IL · NPI 1679158174 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Mar 16, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING2570 NILES RD Saint Joseph, MI 49085-3203269-985-0021
LOCATION9300 WAUKEGAN RD Morton Grove, IL 60053-1312847-299-1044

View on NPPES registry ↗

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