Millennium Park Dermatology, SC
Millennium Park Dermatology, SC provides Dermatology Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
30 N Michigan Ave Ste 1429Chicago, IL 60602-3402 Not confirmed with CMS for 16 years — call before visiting
Phone: (312) 407-0000
Fax: (312) 407-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036106254 (IL) |
|---|
Record details
| NPI number | 1649587395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Victoria Barbosa — Physician Owner · (312) 407-0000 |
| NPI enumerated | September 1, 2010 |
| Last updated in NPPES | September 1, 2010 |
| Mailing address | 30 N Michigan Ave, Suite 1429, Chicago, IL 60602-3402 |
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