Dermatology & Skin Surgery Associates, Sc in Mokena - Dermatology
Dermatology & Skin Surgery Associates, Sc - NPI 1245342633
Dermatology & Skin Surgery Associates, Sc is a Dermatology in Mokena, Illinois. Dermatology & Skin Surgery Associates, Sc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dermatology & Skin Surgery Associates, Sc is 1245342633. The last update date is 2011-05-18.
Dermatology & Skin Surgery Associates, Sc's current location address is 19639 S Lagrange Rd, Mokena, Illinois. You can contact this provider via phone number 7084783530 and fax number 7084783537. The mailing address for Dermatology & Skin Surgery Associates, Sc is 19639 S Lagrange Rd, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology & Skin Surgery Associates, Sc |
|---|---|
| Address | 19639 S Lagrange Rd, Mokena, Illinois |
| Phone Number | 7084783530 |
| Fax Number | 7084783537 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stockton M Donna |
| Credentials | MD |
| Telephone Number | 7084783530 |
NPI Number Detail
| NPI Number | 1245342633 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2011-05-18 |
Provider Mailing Address Detail
| Address | 19639 S Lagrange Rd |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 60448 |
| Phone Number | 7084783530 |
| Fax Number | 7084783537 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36109235 |
|
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 |
|---|---|---|---|
| 36073727 | IL | -- |
Post Comment/ Review Below
What is the Dermatology & Skin Surgery Associates, Sc's unique identification number?
The Dermatology & Skin Surgery Associates, Sc has been assigned the NPI (National Provider Identifier) Number 1245342633 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Dermatology & Skin Surgery Associates, Sc is physically located?
The Dermatology & Skin Surgery Associates, Sc is situated at the following address: 19639 S Lagrange Rd, Mokena, IL 60448.
What is Dermatology & Skin Surgery Associates, Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dermatology & Skin Surgery Associates, Sc's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date was the 1245342633 assigned to Dermatology & Skin Surgery Associates, Sc?
The Dermatology & Skin Surgery Associates, Sc was issued its 1245342633 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dermatology & Skin Surgery Associates, Sc most recently updated or revised?
The information pertaining to Dermatology & Skin Surgery Associates, Sc, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-18.
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