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Organization

DEWOLFE AESTHETIC SERVICES SC

Active
Other names
DeWolfe Aesthetic Services SC
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH POLHEMUS (BILLING MANAGER)
(434) 284-8770
Entity
Organization

Contact information

Practice address
3357 N. SOUTHPORT AVEUNE, CHICAGO, IL 60657
(434) 284-8770
(914) 206-4144
Mailing address
3357 N. SOUTHPORT AVEUNE, CHICAGO, IL 60657
(434) 284-8770
(914) 206-4144

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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