North Suburban Dermatology Associates,sc

NPI #1609827237 in Gurnee, Illinois

Provider Information

NPI Number: 1609827237
Entity Type: Organization
Organization Name: North Suburban Dermatology Associates,sc
Primary Specialty: Specialist
Enumeration Date: May 16, 2006
Last Updated: Feb 12, 2008

Practice Location

Address: 1O3 S GREENLEAF ST
Address 2: SUITE J
City: Gurnee
State: Illinois
ZIP Code: 60031-3370
Phone: (847) 662-8201

Authorized Official

Name: DR. SAMUEL SOLOMON, M.D.
Title: PRESIDENT
Phone: (847) 662-8201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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