Cosmetic Dermatology&surgerypc

Organization Procedural Dermatology Physician · NPI 1629260039

Cosmetic Dermatology&surgerypc provides Procedural Dermatology Physician services in Olympia Fields, Illinois. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

2605 Lincoln Hwy
Olympia Fields, IL 60461-1846 Not confirmed with CMS for 19 years — call before visiting
Phone: (708) 481-9370
Fax: (708) 481-9369

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary)	Taxonomy 207NS0135X

Record details

NPI number	1629260039
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Vladimir Panine — Owner · (708) 481-9370
NPI enumerated	August 10, 2007
Last updated in NPPES	September 12, 2007
Mailing address	2605 Lincoln Hwy, Olympia Fields, IL 60461-1846