Asmsc-Morton Grove Il Sc
NPI #1679158174 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1679158174
- Entity Type
- Organization
- Organization Name
- Asmsc-Morton Grove Il Sc
- Primary Specialty
- Dermatology
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 9300 WAUKEGAN RD
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-1312
- Phone
- (847) 299-1044
Authorized Official
- Name
- CLARENCE W BROWN JR., M.D., J.D.
- Title
- OWNER/CEO/PRESIDENT
- Phone
- (269) 985-0021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology - Dermatopathology — Dermatopathology |
| Pathology - Dermatopathology — Dermatopathology |
| Dermatology |
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