OrganizationActive
Advanced Skin and Mohs Surgery Center S.c.
NPI 1174984959 · MOHS-Micrographic Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1174984959
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Clarence Brown, Director
- License
- 036096380 (IL)
Practice location
2845 N. Sheridan Road
Ste 912
Chicago, IL 60657
Phone: (773) 281-0046
Fax: (773) 281-0228
Mailing address
2570 Niles Rd
Saint Joseph, MI 49085-3203
Registry dates
- Enumerated
- 2016-03-08
- Last updated
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.