Organization
ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA RANI MD (MEDICAL DIRECTOR)
(847) 802-9667
Entity
Organization
Contact information
Practice address
850 S WABASH AVE STE 200, CHICAGO, IL 60605-3642
(847) 802-9667
(408) 715-4968
Mailing address
351 W DICKENS AVE APT 4E, CHICAGO, IL 60614-4615
(402) 319-4146
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036131459
IL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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