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Contact Information

DERMATOLOGY SPECIALIST, LTD
2740 W FOSTER AVE SUITE 305
CHICAGO, IL60625
 Phone: 773-271-4442
 Fax: 773-271-4474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DERMATOLOGY SPECIALIST LTD · (Female)

NPI Number 1255424552
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 05/13/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036035278
  • IL Medicaid 036035278
  • IL Other DG9713 RAIL ROAD MEDICARE
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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