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Organization

CHICAGO DERMATOLOGY AND COSMETIC CENTER, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANA KASHLAN M.D. (PRESIDENT)
(812) 243-1188
Entity
Organization

Contact information

Practice address
2861 83RD ST, DARIEN, IL 60561-5612
(630) 590-5017
(630) 590-5018
Mailing address
2861 83RD ST, DARIEN, IL 60561-5612
(630) 590-5017
(630) 590-5018

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/02/2016
Last updated
05/30/2016
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