NPI 1023345758

Dermatology-Chicago S C

Organisation Dermatology Physician Chicago, IL

Practice location

Address: 25 E Washington St Suite 1131, Chicago, IL 60602-1708
Phone: (312) 372-0150
Fax: (312) 372-4249

Authorised official

Name: David Bryan Shanker
Title: Owner
Phone: (312) 372-0150

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036064577 (IL)

Other Dermatology providers in Illinois →

Registry record

NPI: 1023345758
Entity type: Organization
NPI issued: 18 Nov 2009
Record last updated: 2 Dec 2009

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.