Organization
ADVANCED CLINICAL & SURGICAL DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M JANIGA M.D. (PRESIDENT)
(630) 236-4315
Entity
Organization
Contact information
Practice address
1012 95TH ST, SUITE 1, NAPERVILLE, IL 60564-5041
(630) 236-4315
(630) 236-4316
Mailing address
PO BOX 9504, NAPERVILLE, IL 60567-0504
(630) 236-4315
(630) 236-4316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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