Organization
DERMATOLOGY ASSOCIATES OF LAGRANGE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY J. HALPER M.D. (PRESIDENT/PHYSICIAN)
(708) 482-3213
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE #430, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-3213
(708) 482-3230
Mailing address
5201 WILLOW SPRINGS RD, SUITE #430, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 482-3213
(708) 482-3230
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042-616911
IL
Other
Enumeration date
08/31/2006
Last updated
03/24/2014
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