Organization
AFFILIATES IN DISEASES & SURGERY OF THE SKIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN C. SCHULTZ M.D (PRESIDENT)
(708) 383-6366
Entity
Organization
Contact information
Practice address
1050 CHICAGO AVENUE, OAK PARK, IL 60302
(708) 383-6366
(708) 383-6449
Mailing address
1050 CHICAGO AVENUE, OAK PARK, IL 60302
(708) 383-6366
(708) 383-6449
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036-052205
IL
Other
Enumeration date
05/18/2007
Last updated
11/26/2012
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