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Individual

DR. VANESSA CHAO LICHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2340 S HIGHLAND AVE STE 350, LOMBARD, IL 60148-7134
(630) 932-2099
(630) 932-9815
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.131060
IL
207N00000X
Dermatology Physician
125053377
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036.131060
IL
207NS0135X
Procedural Dermatology Physician
036.131060
IL

Other

Enumeration date
06/10/2009
Last updated
08/10/2023
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