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Dermatology Specialist, Ltd
Specialist in Chicago, Illinois
NPI 1255424552

Dermatology Specialist, Ltd is a Specialist based in Chicago, IL. Dermatology Specialist, Ltd practices in Chicago, IL. The NPI Number for Dermatology Specialist, Ltd is 1255424552 and holds a License No. 036035278 (Illinois).

The current practice location address for Dermatology Specialist, Ltd is 2740 W Foster Ave Suite 305, Chicago, IL and can be reached out via phone at 773-271-4442 and via fax at 773-271-4474.

Location: 2740 W Foster Ave Suite 305, Chicago, IL, 60625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255424552
Provider Name
Dermatology Specialist, Ltd
Credential
Provider Entity Type
Organization
Address
2740 W Foster Ave Suite 305, Chicago, IL, 60625
Phone Number
773-271-4442
Fax Number
773-271-4474
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036035278 05 IL
DG9713 01 IL RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2740 W Foster Ave Suite 305
City
Chicago
State
Illinois
Zip
60625
Phone Number
773-271-4442
Fax Number
773-271-4474
person
Provider Business Mailing Address Details
Address
2740 W Foster Ave Suite 305
City
Chicago
State
Illinois
Zip
60625
Phone Number
773-271-4442
Fax Number
773-271-4474
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036035278 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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