Organization
LASER AND COSMETIC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWDAT ABBOUD MD (PRESIDENT)
(708) 974-4270
Entity
Organization
Contact information
Practice address
10510 S ROBERTS RD, PALOS HILLS, IL 60465-1934
(708) 974-4270
(630) 706-4446
Mailing address
10510 S ROBERTS RD, PALOS HILLS, IL 60465-1934
(708) 974-4270
(630) 706-4446
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036087208
IL
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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