Organization
MOHS SURGERY &DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM GREENOUGH (OFFICE MANAGER)
(847) 608-6647
Entity
Organization
Contact information
Practice address
1750 N RANDALL RD, SUITE 120, ELGIN, IL 60123-7900
(847) 608-6647
Mailing address
1750 N RANDALL RD, SUITE 120, ELGIN, IL 60123-7900
(847) 608-6647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036.137205
IL
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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