National Provider Identifier Database

DERMATOLOGY SPECIALIST LTD
Specialist

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.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY SPECIALIST, LTD

NPI Number 1255424552
Legal business name
LBN
DERMATOLOGY SPECIALIST, LTD
Authorized official BARRY KIRSCHENBAUM - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/02/2006
Last updated 05/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036035278
  • IL Medicaid: 036035278
  • IL Other: DG9713 RAIL ROAD MEDICARE

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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