Northshore Dermatology Center Sc
NPI #1841315884 in Lake Bluff, Illinois
Provider Information
- NPI Number
- 1841315884
- Entity Type
- Organization
- Organization Name
- Northshore Dermatology Center Sc
- Primary Specialty
- Dermatology
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 925 SHERWOOD DR
- City
- Lake Bluff
- State
- Illinois
- ZIP Code
- 60044-2203
- Phone
- (847) 234-1177
Authorized Official
- Name
- DR. TINA C VENETOS, MD
- Title
- PRESIDENT OF NORTHSHORE DERMATOLOGY
- Phone
- (847) 234-1177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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