NPI 1396768727

Mavena Derma Centers, INC.

Organisation Specialist Arlington Heights, IL

Practice location

Address: 1100 W Central Rd 306, Arlington Heights, IL 60005-2402
Phone: (847) 483-9621
Fax: (847) 483-9625
Mailing address: 500 N. Michigan Avenue 300, Chicago, IL 60611-3777

Authorised official

Name: Jerri McGinnis
Title: Vice President
Phone: (847) 483-9621

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1396768727
Entity type: Organization
NPI issued: 26 Jul 2006
Record last updated: 28 Nov 2007

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.