Premier Dermatology Ltd

NPI #1922053370 in Crest Hill, Illinois

Provider Information

NPI Number: 1922053370
Entity Type: Organization
Organization Name: Premier Dermatology Ltd
Primary Specialty: Dermatology
Enumeration Date: May 24, 2006
Last Updated: Jul 15, 2010

Practice Location

Address: 2051 PLAINFIELD RD
City: Crest Hill
State: Illinois
ZIP Code: 60403-1865
Phone: (815) 741-4343

Authorized Official

Name: MATTHEW R KELLEHER, M.D.
Title: MEDICAL DIRECTOR
Phone: (815) 741-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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