Dermatology Physicians Sc

NPI #1063978138 in Chicago, Illinois

Provider Information

NPI Number: 1063978138
Entity Type: Organization
Organization Name: Dermatology Physicians Sc
Primary Specialty: Dermatology
Enumeration Date: Feb 13, 2019
Last Updated: Mar 30, 2020

Practice Location

Address: 680 N LAKE SHORE DR STE 1208
City: Chicago
State: Illinois
ZIP Code: 60611-8701
Phone: (312) 483-4397

Authorized Official

Name: DR. MOTUNRAYO ADISA, MD
Title: OWNER
Phone: (773) 875-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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