Organization
ORSINI SURGICAL DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PRIESS ORSINI (MD)
(630) 300-0015
Entity
Organization
Contact information
Practice address
1519 LEGACY CIR, NAPERVILLE, IL 60563-3161
(630) 300-0015
(630) 300-0014
Mailing address
1519 LEGACY CIR, NAPERVILLE, IL 60563-3161
(630) 300-0015
(630) 300-0014
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/17/2019
Last updated
10/12/2021
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