Southwest Dermatology

NPI #1619260247 in New Lenox, Illinois

Provider Information

NPI Number: 1619260247
Entity Type: Organization
Organization Name: Southwest Dermatology
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHWEST DERMATOLOGY
Primary Specialty: Dermatology
Enumeration Date: May 16, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 1870 SILVER CROSS BOULEVARD
Address 2: SUITE 250
City: New Lenox
State: Illinois
ZIP Code: 60451
Phone: (815) 463-8989

Authorized Official

Name: CHEUK W YUNG, M.D.
Title: M.D./
Phone: (815) 463-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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