Organization
SKINNOVATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANN (PARTNER)
(847) 499-5500
Entity
Organization
Contact information
Practice address
9305 CALUMET AVE STE A1, MUNSTER, IN 46321-2888
(847) 499-5500
Mailing address
1450 BUSCH PKWY, BUFFALO GROVE, IL 60089-4541
(847) 499-5500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
05/31/2022
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