Southwest Dermatology Valid NPI

Organization · Dermatology Physician · New Lenox, IL

NPI

1619260247

Type

Organization (Type 2)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

36059742 (IL)

Enumerated

2011-05-16

Last updated

2011-06-21