National Provider Identifier Database

DERMATOLOGY ASSOCIATES 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 ASSOCIATES LTD
18425 W CREEK DR
STE F
TINLEY PARK, IL60477-6767
Phone: 708-444-8300
Fax: 708-444-8301
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY ASSOCIATES LTD

NPI Number 1497968945
Legal business name
LBN
DERMATOLOGY ASSOCIATES LTD
Authorized official VIVEK IYENGAR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2007
Last updated 12/07/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 042618383

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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