Organization
DERMATOLOGY CENTERS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P VAN DAM MD (OWNER)
(847) 382-5111
Entity
Organization
Contact information
Practice address
183 HERITAGE DR, CRYSTAL LAKE, IL 60014-8042
(815) 455-4434
Mailing address
738 W NORTHWEST HWY, BARRINGTON, IL 60010-2640
(847) 382-5111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
10/22/2007
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