Crystal Lake Dermatology Sc
NPI #1982777231 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1982777231
- Entity Type
- Organization
- Organization Name
- Crystal Lake Dermatology Sc
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Jul 29, 2013
Practice Location
- Address
- 278 MEMORIAL DR
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014
- Phone
- (815) 477-9867
Authorized Official
- Name
- DR. JAMIE SO-YUNG CHIN, MD
- Title
- PHYSICIAN
- Phone
- (815) 477-9858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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