ILLINOIS SKIN CENTER LLC is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ILLINOIS SKIN CENTER LLC NPI is 1588283402. The provider is registered as an organization entity type.
The provider's business location address is:
2202 N HALSTED ST STE 1
CHICAGO, IL
ZIP 60614-625
Phone: (312) 600-5826
The provider's authorized official is David Othman .
The authorized official title is President And Ceo and has the following contact phone number (312) 600-5826.
The CLIA number assigned to this NPI record is 14D2197447 - public health laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2020 and was last updated on 8/21/2021.