Millennium Park Dermatology, S.c.

NPI #1649587395 in Chicago, Illinois

Provider Information

NPI Number: 1649587395
Entity Type: Organization
Organization Name: Millennium Park Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: Sep 1, 2010
Last Updated: Sep 1, 2010

Practice Location

Address: 30 N MICHIGAN AVE
Address 2: SUITE 1429
City: Chicago
State: Illinois
ZIP Code: 60602-3402
Phone: (312) 407-0000

Authorized Official

Name: DR. VICTORIA BARBOSA, M.D.
Title: PHYSICIAN OWNER
Phone: (312) 407-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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