Organization
CENTER FOR DERMATOLOGY AND AESTHETIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAIYAAZ AHMAD KALIMULLAH M.D. (DIRECTOR)
(312) 380-6747
Entity
Organization
Contact information
Practice address
755 N WELLS ST, SUITE 201, CHICAGO, IL 60654-3520
(312) 380-6747
(312) 348-7229
Mailing address
755 N WELLS ST, SUITE 201, CHICAGO, IL 60654-3520
(312) 380-6747
(312) 348-7229
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036139965
IL
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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