Individual
COLE DAVID LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 W DEMPSTER ST, STE 660, PARK RIDGE, IL 60068-1186
(847) 698-1210
(847) 698-0475
Mailing address
7447 W. TALCOTT AVE, SUITE 321, CHICAGO, IL 60631
(773) 774-7122
(773) 631-7642
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036056878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056878
—
IL
Enumeration date
12/05/2005
Last updated
11/11/2008
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