Organization
ADVANCED DERMATOLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FORMAN TAUB M.D. (MEDICAL DIRECTOR)
(847) 459-6400
Entity
Organization
Contact information
Practice address
275 PARKWAY DR, SUITE 521, LINCOLNSHIRE, IL 60069-4341
(847) 459-6400
(847) 459-4610
Mailing address
275 PARKWAY DR, SUITE 521, LINCOLNSHIRE, IL 60069-4341
(847) 459-6400
(847) 459-4610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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