Organization
WEST SUBURBAN DERMATOLOGY & COSMETIC SURGERY
Active
Other names
Clear Skin Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN M. DANIELS (PRACTICE MANAGER)
(630) 443-8855
Entity
Organization
Contact information
Practice address
2560 FOXFIELD RD, SUITE 100, SAINT CHARLES, IL 60174-5797
(630) 443-8855
(630) 443-8866
Mailing address
2560 FOXFIELD RD, SUITE 100, SAINT CHARLES, IL 60174-5797
(630) 443-8855
(630) 443-8866
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036108686
IL
Other
Enumeration date
12/19/2006
Last updated
08/14/2013
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