NPI 1619260247

Southwest Dermatology

Organisation Dermatology Physician New Lenox, IL

Practice location

Address: 1870 Silver Cross Boulevard Suite 250, New Lenox, IL 60451
Phone: (815) 463-8989
Fax: (815) 463-8948

Authorised official

Name: Cheuk W Yung
Title: M.D./
Phone: (815) 463-8989

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 36059742 (IL)

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Registry record

NPI: 1619260247
Entity type: Organization
NPI issued: 16 May 2011
Record last updated: 21 Jun 2011

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.