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Contact Information

DERICK DERMATOLOGY, PLLC
12736 S STATE ROUTE 59 UNIT 102
PLAINFIELD, IL60585-5461
 Phone: 847-381-8899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DERICK DERMATOLOGY PLLC · (Female)

NPI # 1932848330
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2022
Last updated 09/09/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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