Dermatology Consultants Ltd

NPI #1295914174 in Chicago, Illinois

Provider Information

NPI Number: 1295914174
Entity Type: Organization
Organization Name: Dermatology Consultants Ltd
Primary Specialty: Dermatology
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 6374 N LINCOLN AVE
Address 2: SUITE 202
City: Chicago
State: Illinois
ZIP Code: 60659
Phone: (773) 267-8820

Authorized Official

Name: MR. IRVING H DISTELITEIM, MD
Title: PRESIDENT
Phone: (773) 267-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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