Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Nov 3, 2008
License(s)
036121698 (IL), 036121698 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1900 WEST POLK STREET SECTION OF DERMATOLOGY, ADMIN. BUILDING, 5TH FLOOR | Chicago, IL 60312 | 312-839-2429 |
| MAILING | 1900 WEST POLK STREET SECTION OF DERMATOLOGY, ADMIN. BUILDING, 5TH FLOOR | Chicago, IL 60312 | 312-839-2429 |
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