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Organization

DERMATOLOGY AND AESTHETICS OF WICKER PARK, PLLC

Active
Other names
Dermatology and Aesthetics of Wicker Park, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NEHA ROBINSON MD (OWNER/ PHYSICIAN)
(773) 276-1100
Entity
Organization

Contact information

Practice address
1765 N ELSTON AVE, SUITE 110, CHICAGO, IL 60642-1501
(773) 276-1100
(773) 276-1102
Mailing address
1765 N ELSTON AVE, SUITE 110, CHICAGO, IL 60642-1501
(773) 276-1100
(773) 276-1102

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/13/2007
Last updated
01/08/2021
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