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Dr. Vanessa Chao Lichon, M.D.

Dermatology, MOHS-Micrographic Surgery in Lombard, IL. Individual provider (NPI-1).

NPI number1528294097
StatusActive
Last updated in NPPESAug 10, 2023

Details

NPI
1528294097
Entity type
Individual (NPI-1)
Name
Dr. Vanessa Chao Lichon
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2009
Certification date
Aug 10, 2023
Last updated
Aug 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic Surgery036.131060ILYes
207N00000X Dermatology036.131060IL
207N00000X Dermatology125053377IL
207NS0135X Dermatology, Procedural Dermatology036.131060IL

Practice location

2340 S Highland Ave Ste 350
Lombard, IL 60148-7134

Phone 630-932-2099 · Fax 630-932-9815

Mailing address

Po Box 713260
Chicago, IL 60677-1260

Phone 630-469-9200

Other practice locations

2051 Plainfield Rd
Crest Hill, IL 60403-1865

Phone 815-741-4343 · Fax 815-741-8660

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Other MOHS-Micrographic Surgery Physician providers in Lombard, IL

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