Organization
SUMMIT DERMATOLOGY AND AESTHETIC SURGERY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA AGHA M.D (PRESIDENT)
(630) 282-6004
Entity
Organization
Contact information
Practice address
1S210 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3933
(630) 627-3376
Mailing address
1128 HEWITT DR, DES PLAINES, IL 60016-6041
(847) 298-4004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036125561
IL
Other
Enumeration date
09/28/2010
Last updated
10/23/2012
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