West Suburban Dermatology & Cosmetic Surgery

NPI #1477617207 in Saint Charles, Illinois

Provider Information

NPI Number: 1477617207
Entity Type: Organization
Organization Name: West Suburban Dermatology & Cosmetic Surgery
Primary Specialty: Dermatology
Enumeration Date: Dec 19, 2006
Last Updated: Aug 14, 2013

Practice Location

Address: 2560 FOXFIELD RD
Address 2: SUITE 100
City: Saint Charles
State: Illinois
ZIP Code: 60174-5797
Phone: (630) 443-8855

Authorized Official

Name: MS. ERIN M. DANIELS
Title: PRACTICE MANAGER
Phone: (630) 443-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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