Elk Grove Dermatology, S.C. in Elk Grove Village - Dermatology
Elk Grove Dermatology, S.C. - NPI 1386769271
Elk Grove Dermatology, S.C. is a Dermatology in Elk Grove Village, Illinois. Elk Grove Dermatology, S.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Elk Grove Dermatology, S.C. is 1386769271. The last update date is 2007-10-25.
Elk Grove Dermatology, S.C.'s current location address is 901 Biesterfield Rd Ste 209, Elk Grove Village, Illinois. You can contact this provider via phone number 8475936222. The mailing address for Elk Grove Dermatology, S.C. is 901 Biesterfield Rd Ste 209, Elk Grove Village, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elk Grove Dermatology, S.C. |
|---|---|
| Address | 901 Biesterfield Rd Ste 209, Elk Grove Village, Illinois |
| Phone Number | 8475936222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPI |
|---|---|
| Authorized Official Name | Polisky B Robert |
| Credentials | M.D. |
| Telephone Number | 8475936222 |
NPI Number Detail
| NPI Number | 1386769271 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 901 Biesterfield Rd Ste 209 |
|---|---|
| City | Elk Grove Village |
| State | Illinois (IL) |
| Post Code | 600077300 |
| Phone Number | 8475936222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 916-120 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elk Grove Dermatology, S.C.?
The Elk Grove Dermatology, S.C. has been issued the NPI (National Provider Identifier) 1386769271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Elk Grove Dermatology, S.C.'s facilities are situated?
The facilities of Elk Grove Dermatology, S.C. are physically located at the following address: 901 Biesterfield Rd Ste 209, Elk Grove Village, IL, 600077300.
What is the Elk Grove Dermatology, S.C.'s area of specialization and corresponding taxonomy classification?
The Elk Grove Dermatology, S.C.'s specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did Elk Grove Dermatology, S.C. receive its 1386769271 assignment from the Centers for Medicare & Medicaid Services?
The Elk Grove Dermatology, S.C. was assigned its 1386769271 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Elk Grove Dermatology, S.C.'s details last updated?
The information pertaining to the Elk Grove Dermatology, S.C., including its address, specialty, and other details, was most recently updated on 2007-10-25.
NPI Number: 1891797999
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