Organization
MICHIGAN CITY DERMATOLOGY AND VEIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASSILIOS ATHANASIOS DIMITROPOULOS MD (PRESIDENT)
(773) 351-2862
Entity
Organization
Contact information
Practice address
10282 W 400 N, MICHIGAN CITY, IN 46360-9470
(773) 351-2862
(773) 358-2767
Mailing address
745 S PARK AVE, HINSDALE, IL 60521-4645
(773) 351-2862
(773) 358-2767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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