Dermatology Partners of the North Shore LLC
NPI #1114063591 in Northbrook, Illinois
Provider Information
- NPI Number
- 1114063591
- Entity Type
- Organization
- Organization Name
- Dermatology Partners of the North Shore LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jan 17, 2013
Practice Location
- Address
- 400 SKOKIE BLVD
- Address 2
- SUITE 475
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-7930
- Phone
- (847) 272-4433
Authorized Official
- Name
- DR. JEFFREY C DRALUCK, M.D.
- Title
- MEMBER
- Phone
- (847) 272-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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