Organization
LAKESIDE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA P ARROYO M.D. (OWNER)
(847) 367-5575
Entity
Organization
Contact information
Practice address
1240 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1307
(847) 367-5575
(847) 367-5579
Mailing address
1240 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1307
(847) 367-5575
(847) 367-5579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.114928
IL
Other
Enumeration date
04/13/2015
Last updated
12/15/2021
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