Charming Skin Vein Center LLC
Internal Medicine in Dyer, IN. Organization (NPI-2).
NPI number1427771237
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1427771237
- Entity type
- Organization (NPI-2)
- Legal business name
- Charming Skin Vein Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2022
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- None (Other Name)
Practice location
1100 Joliet St Ste 201Dyer, IN 46311-1995
Phone 630-974-1400 · Fax 888-466-3320
Mailing address
1100 Joliet St Ste 201Dyer, IN 46311-1995
Phone 630-974-1400 · Fax 888-466-3320
Authorized official
Jawdat Abboud
Medical Director
6309741400
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