Organization
SKIN WELLNESS CENTER OF CHICAGO, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE A. JACKSON MD (PRESIDENT, OWNER, MEDICAL DIRECTOR)
(312) 236-9950
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE # 1116, CHICAGO, IL 60602-1903
(312) 236-9950
(312) 236-9951
Mailing address
111 N WABASH AVE, SUITE # 1116, CHICAGO, IL 60602-1903
(312) 236-9950
(312) 236-9951
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
05/06/2007
Last updated
08/22/2020
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