Organization
COSMETIC DERMATOLOGY&SURGERYPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR V PANINE MD. (OWNER)
(708) 481-9370
Entity
Organization
Contact information
Practice address
2605 LINCOLN HWY, OLYMPIA FIELDS, IL 60461-1846
(708) 481-9370
(708) 481-9369
Mailing address
2605 LINCOLN HWY, OLYMPIA FIELDS, IL 60461-1846
(708) 481-9370
(708) 481-9369
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
09/12/2007
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