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Organization
DEWOLFE AESTHETIC SERVICES SC
Active
Organization
DEWOLFE AESTHETIC SERVICES SC
Active
Other names
DeWolfe Aesthetic Services SC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH POLHEMUS (BILLING MANAGER)
(434) 284-8770
Entity
Organization
Contact information
Practice address
3357 N. SOUTHPORT AVEUNE, CHICAGO, IL 60657
(434) 284-8770
(914) 206-4144
Mailing address
3357 N. SOUTHPORT AVEUNE, CHICAGO, IL 60657
(434) 284-8770
(914) 206-4144
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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