Organization
ACADEMIC DERMATOLOGY & SKIN CANCER INSTITUTE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA BALICH (OFFICE MANAGER)
(312) 230-0180
Entity
Organization
Contact information
Practice address
50 E WASHINGTON ST STE 200, CHICAGO, IL 60602-2154
(312) 230-0180
(312) 230-0181
Mailing address
PO BOX 809397, CHICAGO, IL 60680-9397
(312) 230-0180
(312) 230-0181
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
042618008
IL
Other
Enumeration date
02/27/2007
Last updated
01/15/2013
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