Organization
PINSKI DERMATOLOGY & COSMETIC SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY F RIEMERTS (MANAGER)
(312) 263-4625
Entity
Organization
Contact information
Practice address
374 LARRY POWER RD, BOURBONNAIS, IL 60914-5187
(815) 933-2227
Mailing address
374 LARRY POWER RD, BOURBONNAIS, IL 60914-5187
(815) 933-2227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042000198
IL
Other
Enumeration date
08/12/2008
Last updated
01/29/2020
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