Organization
CRYSTAL LAKE DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE SO-YUNG CHIN MD (PHYSICIAN)
(815) 477-9858
Entity
Organization
Contact information
Practice address
278 MEMORIAL DR, CRYSTAL LAKE, IL 60014
(815) 477-9867
(815) 477-9868
Mailing address
278 MEMORIAL DR, CRYSTAL LAKE, IL 60014
(815) 477-9867
(815) 477-9868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
07/29/2013
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