Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Apr 10, 2008
License(s)
036.137740 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1600 N RANDALL RD SUITE 400 | Elgin, IL 60123 | 815-744-8554 |
| MAILING | 1600 N RANDALL RD SUITE 400 | Elgin, IL 60123 | 847-381-8899 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.