Physicians Laser and Dermatology Institute of Chicago LLC

NPI #1366581993 in Chicago, Illinois

Provider Information

NPI Number: 1366581993
Entity Type: Organization
Organization Name: Physicians Laser and Dermatology Institute of Chicago LLC
Primary Specialty: Dermatology
Enumeration Date: Feb 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 150 E HURON ST STE 1200
City: Chicago
State: Illinois
ZIP Code: 60611-2949
Phone: (312) 280-0890

Authorized Official

Name: DR. JEROME M GARDEN, M.D.
Title: OWNER
Phone: (312) 280-0890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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