OrganizationActive
Lilly Aesthetics Sc
NPI 1295374270 · MOHS-Micrographic Surgery Physician · Lombard, IL
Provider details
- NPI number
- 1295374270
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mercy Odueyungbo, President(630) 317-7338
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 S Highland Ave Ste 220
Lombard, IL 60148-7103
Phone: (630) 317-7338
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 644
Marquette, MI 49855-0644
Registry dates
- Enumerated
- 2019-12-23
- Last updated
- 2019-12-23
- Certified
- 2019-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.