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Organization

LASSER DERMATOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH B BIELINSKI MD (OWNER)
(708) 636-3767
Entity
Organization

Contact information

Practice address
4905 OLD ORCHARD CTR, SUITE 318, SKOKIE, IL 60077-1458
(847) 674-1570
(847) 674-1517
Mailing address
16105 S LA GRANGE RD, ORLAND PARK, IL 60467-5503
(708) 636-3767
(708) 636-4361

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036070977
IL

Other

Enumeration date
01/19/2015
Last updated
01/19/2015
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