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Illinois Dermatology Institute, Llc
Medical Specialty Clinic/Center in Park Ridge, Illinois
NPI 1447613989

Illinois Dermatology Institute, Llc is a Medical Specialty Clinic/Center based in Park Ridge, IL and is specialized in Medical Specialty. Illinois Dermatology Institute, Llc practices in Park Ridge, IL. The NPI Number for Illinois Dermatology Institute, Llc is 1447613989 and holds a License No. 036111710 (Illinois).

The current practice location address for Illinois Dermatology Institute, Llc is 1550 N Northwest Hwy, Park Ridge, IL and can be reached out via phone at 847-298-1831 and via fax at 847-298-1832. You can also correspond with Illinois Dermatology Institute, Llc through the mailing address at 1550 N NORTHWEST HWY, PARK RIDGE, IL - 60068-1411 (mailing address contact number: 847-298-1831).

Location: 1550 N Northwest Hwy, Park Ridge, IL, 60068-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447613989
Provider Name
Illinois Dermatology Institute, Llc
Credential
Provider Entity Type
Organization
Address
1550 N Northwest Hwy, Park Ridge, IL, 60068-1411
Phone Number
847-298-1831
Fax Number
847-298-1832
Provider Enumeration Date
04/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036111710 05 IL
1386663631 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
1550 N Northwest Hwy
City
Park Ridge
State
Illinois
Zip
60068-1411
Phone Number
847-298-1831
Fax Number
847-298-1832
person
Provider Business Mailing Address Details
Address
1550 N Northwest Hwy
City
Park Ridge
State
Illinois
Zip
60068-1411
Phone Number
847-298-1831
Fax Number
847-298-1832
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036111710 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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