Center for Dermatology and Aesthetic Medicine, LLC

NPI #1447601414 in Chicago, Illinois

Provider Information

NPI Number: 1447601414
Entity Type: Organization
Organization Name: Center for Dermatology and Aesthetic Medicine, LLC
Primary Specialty: Dermatology
Enumeration Date: Jun 30, 2016
Last Updated: Jun 30, 2016

Practice Location

Address: 755 N WELLS ST
Address 2: SUITE 201
City: Chicago
State: Illinois
ZIP Code: 60654-3520
Phone: (312) 380-6747

Authorized Official

Name: DR. FAIYAAZ AHMAD KALIMULLAH, M.D.
Title: DIRECTOR
Phone: (312) 380-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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