Advanced Dermatology,llc
NPI #1528273505 in Lincolnshire, Illinois
Provider Information
- NPI Number
- 1528273505
- Entity Type
- Organization
- Organization Name
- Advanced Dermatology,llc
- Primary Specialty
- Specialist
- Enumeration Date
- May 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 275 PARKWAY DR
- Address 2
- SUITE 521
- City
- Lincolnshire
- State
- Illinois
- ZIP Code
- 60069-4341
- Phone
- (847) 459-6400
Authorized Official
- Name
- AMY FORMAN TAUB, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (847) 459-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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