Midwest Dermatology Institute, Llc | |
500 E Ogden Ave Ste 200 Hinsdale IL 60521-2480 | |
(312) 498-4409 | |
Not Available |
Full Name | Midwest Dermatology Institute, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 500 E Ogden Ave Ste 200, Hinsdale, Illinois |
Authorized Official Name and Position | Steven Goulder (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 3124984409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Dermatology Institute, Llc 500 E Ogden Ave Ste 200 Hinsdale IL 60521-2480 Ph: (312) 498-4409 | Midwest Dermatology Institute, Llc 500 E Ogden Ave Ste 200 Hinsdale IL 60521-2480 Ph: (312) 498-4409 |
NPI Number | 1104314608 |
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Provider Enumeration Date | 04/30/2018 |
Last Update Date | 04/30/2018 |
Identifier | Type | State | Issuer |
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1104314608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
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