Organization
DERMATOLOGY-CHICAGO S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYAN SHANKER M.D. (OWNER)
(312) 372-0150
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1131, CHICAGO, IL 60602-1708
(312) 372-0150
(312) 372-4249
Mailing address
25 E WASHINGTON ST, SUITE 1131, CHICAGO, IL 60602-1708
(312) 372-0150
(312) 372-4249
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036064577
IL
Other
Enumeration date
11/18/2009
Last updated
12/02/2009
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