NPI 1003915166

Calumet Dermatology Assoc S C

Organisation Dermatology Physician Calumet City, IL

Practice location

Address: 19 River Oaks Drive, Calumet City, IL 60409
Phone: (708) 862-1290
Fax: (708) 862-6447

Authorised official

Name: Mary Y Garcia
Title: Office Manager
Phone: (708) 862-1290

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Illinois →

Registry record

NPI: 1003915166
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 9 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.