North Branch Dermatology LLC

NPI #1154721348 in Niles, Illinois

Provider Information

NPI Number: 1154721348
Entity Type: Organization
Organization Name: North Branch Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Aug 26, 2014
Last Updated: Aug 26, 2024

Practice Location

Address: 7411 N MILWAUKEE AVE
City: Niles
State: Illinois
ZIP Code: 60714-3707
Phone: (773) 763-6000

Authorized Official

Name: DR. ELIZABETH N. FAHRENBACH, M.D.
Title: OWNER
Phone: (847) 254-2193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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