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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

NPI # 1255424552
LBN Legal business name DERMATOLOGY SPECIALIST, LTD
Authorized official BARRY KIRSCHENBAUM - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 05/13/2008 - About 18 years ago
Identifiers
IL License # 036035278
IL Medicaid 036035278
IL Other DG9713 RAIL ROAD MEDICARE
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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