Chicago Cosmetic Surgery and Dermatology SC
Chicago Cosmetic Surgery and Dermatology SC provides Dermatology Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
515 N State St Ste 900Chicago, IL 60654-9104
Phone: (312) 245-9965
Fax: (312) 245-9964
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036-102098 (IL) |
|---|
Record details
| NPI number | 1407068000 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Jacob — Medical Director · (312) 245-9965 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | April 14, 2026 |
| Certification date | April 14, 2026 |
| Mailing address | 515 N State St Ste 900, Chicago, IL 60654-9104 |
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