Organization
CHICAGO SKIN SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY M HULTEN M.D. (PRESIDENT)
(630) 205-2335
Entity
Organization
Contact information
Practice address
1111 W MADISON ST, SUITE 2, CHICAGO, IL 60607-2092
(312) 770-7546
Mailing address
1111 W MADISON ST, SUITE 2, CHICAGO, IL 60607-2092
(312) 770-7546
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036094513
IL
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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