Village Dermatology, Sc

NPI #1518210327 in Wilmette, Illinois

Provider Information

NPI Number
1518210327
Entity Type
Organization
Organization Name
Village Dermatology, Sc
Primary Specialty
Clinic/Center
Enumeration Date
Oct 17, 2012
Last Updated
Oct 17, 2012

Practice Location

Address
401 LINDEN AVE
ZIP Code
60091-2844
Phone
(847) 920-9177

Authorized Official

Name
DR. CECELIA H RICKETTS, MD
Title
OWNER
Phone
(847) 920-9177

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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