Organization
PA SKIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAJE SCHANTZ LE (PRESIDENT)
(708) 738-9881
Entity
Organization
Contact information
Practice address
19624 GOVERNORS HWY # 309, FLOSSMOOR, IL 60422-2077
(773) 339-8152
Mailing address
1921 RIDGE RD UNIT 460, HOMEWOOD, IL 60430-4627
(708) 738-9881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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