Individual
CAROLINA PUYANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 KEYSTONE CT, ROLLING MEADOWS, IL 60008-3811
(847) 392-5440
Mailing address
820 S WOOD ST, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036162260
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036162260
IL
Other
Enumeration date
03/25/2020
Last updated
07/09/2024
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