Organization
ON THE SPOT DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAIGE LEPP FNP-BC, FPA (PRESIDENT)
(847) 208-1016
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE STE 409, GLENVIEW, IL 60026-5804
(847) 208-1016
Mailing address
2175 WOODLAWN RD, NORTHBROOK, IL 60062-6072
(847) 208-1016
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/31/2022
Last updated
08/17/2022
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