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LACEY ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
820 SOUTH WOOD ST, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 SOUTH WOOD ST, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.080041
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2022
Last updated
07/12/2023
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