Cosmetic Dermatology&surgerypc
NPI #1629260039 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1629260039
- Entity Type
- Organization
- Organization Name
- Cosmetic Dermatology&surgerypc
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Aug 10, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 2605 LINCOLN HWY
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1846
- Phone
- (708) 481-9370
Authorized Official
- Name
- DR. VLADIMIR V PANINE, MD.
- Title
- OWNER
- Phone
- (708) 481-9370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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