Dermatology Specialist, Ltd in Chicago - Specialist
Dermatology Specialist, Ltd - NPI 1255424552
Dermatology Specialist, Ltd is a Specialist in Chicago, Illinois. Dermatology Specialist, Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Specialist, Ltd is 1255424552. The last update date is 2008-05-13.
Dermatology Specialist, Ltd's current location address is 2740 W Foster Ave Suite 305, Chicago, Illinois. You can contact this provider via phone number 7732714442 and fax number 7732714474. The mailing address for Dermatology Specialist, Ltd is 2740 W Foster Ave Suite 305, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dermatology Specialist, Ltd |
---|---|
Address | 2740 W Foster Ave Suite 305, Chicago, Illinois |
Phone Number | 7732714442 |
Fax Number | 7732714474 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
---|---|
Authorized Official Name | Kirschenbaum Barry |
Credentials | M.D |
Telephone Number | 7733271444 |
NPI Number Detail
NPI Number | 1255424552 |
---|---|
Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
Address | 2740 W Foster Ave Suite 305 |
---|---|
City | Chicago |
State | Illinois (IL) |
Post Code | 60625 |
Phone Number | 7732714442 |
Fax Number | 7732714474 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 36035278 |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36035278 | IL | -- | |
DG9713 | IL | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dermatology Specialist, Ltd by the Centers for Medicare & Medicaid Services?
The Dermatology Specialist, Ltd has been issued the NPI (National Provider Identifier) 1255424552 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dermatology Specialist, Ltd?
The Dermatology Specialist, Ltd is situated at 2740 W Foster Ave Suite 305, in the city of Chicago, state of IL, with the zip code 60625.
What is the area of specialization for Dermatology Specialist, Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dermatology Specialist, Ltd is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Dermatology Specialist, Ltd receive its 1255424552 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology Specialist, Ltd was assigned its 1255424552 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the Dermatology Specialist, Ltd's details last updated?
The information pertaining to the Dermatology Specialist, Ltd, including its address, specialty, and other details, was most recently updated on 2008-05-13.