Organization
FINE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN FINE M.D. (OWNER)
(847) 275-3479
Entity
Organization
Contact information
Practice address
500 W SUPERIOR ST, #1803, CHICAGO, IL 60654-8132
(847) 275-3479
Mailing address
500 W SUPERIOR ST, #1803, CHICAGO, IL 60654-8132
(847) 275-3479
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036125993
IL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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