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Contact Information

DERICK DERMATOLOGY, PLLC
750 W LAKE COOK RD STE 270
BUFFALO GROVE, IL60089-2069
 Phone: 847-381-8899
 Fax: 847-381-8999
 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

NPI # 1639670904
LBN Legal business name DERICK DERMATOLOGY, PLLC
Authorized official AMY DERICK - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2018
Last updated 09/09/2022 - About 4 years ago
Identifiers
IL License # 36112935
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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