Organization
RADIANT DERMATOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FRIEDRICHS (OWNER/CEO)
(815) 981-4990
Entity
Organization
Contact information
Practice address
1740 MEDITERRANEAN DR STE 102, SYCAMORE, IL 60178-3191
(815) 981-4990
(815) 517-0064
Mailing address
1740 MEDITERRANEAN DR STE 102, SYCAMORE, IL 60178-3191
(815) 981-4990
(815) 517-0064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
11/06/2014
Last updated
02/23/2015
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