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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 Specialty Code Provider Type

Specialist

174400000X
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DERMATOLOGY ASSOCIATES LTD

NPI Number 1497968945
LBN Legal business name DERMATOLOGY ASSOCIATES LTD
Authorized official VIVEK IYENGAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2007
Last updated 12/07/2021 - About 4 years ago
Identifiers
IL License # 042618383
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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