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Organization

DERMATOLOGY ASSOCIATES OF ILLINOIS, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL A STORRS M.D. (PRESIDENT)
(312) 527-1811
Entity
Organization

Contact information

Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9772
(708) 923-9788
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9772
(708) 923-9788

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036065095
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036065095
IL
207NP0225X
Pediatric Dermatology Physician
036065095
IL
207NS0135X
Procedural Dermatology Physician
036065095
IL

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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