Organization
ADVANCED DERMATOLOGY CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELMINA MICHAEL MD (OWNER)
(708) 771-4171
Entity
Organization
Contact information
Practice address
7318 MADISON ST, FOREST PARK, IL 60130-3100
(708) 771-4171
(708) 771-4330
Mailing address
7318 MADISON ST, FOREST PARK, IL 60130-3100
(708) 771-4171
(708) 771-4330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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