Organization
MARJERIE M BADILLA M.D. S.C.
Active
Other names
Skin and Hair Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE J. ALCANTARA (BILLING MANAGER)
(773) 583-6955
Entity
Organization
Contact information
Practice address
2510 W IRVING PARK RD, UNIT D, CHICAGO, IL 60618-3716
(773) 583-6955
(773) 604-2201
Mailing address
2510 W IRVING PARK RD, UNIT D, CHICAGO, IL 60618-3716
(773) 583-6955
(773) 604-2201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036051999-1
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051999-1
—
IL
Enumeration date
06/09/2006
Last updated
08/22/2020
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