Organization
MEDICAL DERMATOLOGY ASSOCIATES OF CHICAGO, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LIO M.D. (PRESIDENT)
(312) 995-1955
Entity
Organization
Contact information
Practice address
363 W ERIE ST, SUITE 350, CHICAGO, IL 60654-6903
(312) 995-1955
(312) 995-1956
Mailing address
363 W ERIE ST, SUITE 350, CHICAGO, IL 60654-6903
(312) 995-1955
(312) 995-1956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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