Lake Shore Dermatology, Ltd. in Park City - Dermatology
Lake Shore Dermatology, Ltd. - NPI 1902977937
Lake Shore Dermatology, Ltd. is a Dermatology in Park City, Illinois. Lake Shore Dermatology, Ltd. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lake Shore Dermatology, Ltd. is 1902977937. The last update date is 2020-08-22.
Lake Shore Dermatology, Ltd.'s current location address is 351 S. Greenleaf, Park City, Illinois. You can contact this provider via phone number 8476807100 and fax number 8474063345. The mailing address for Lake Shore Dermatology, Ltd. is 351 S. Greenleaf, Park City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Dermatology, Ltd. |
|---|---|
| Address | 351 S. Greenleaf, Park City, Illinois |
| Phone Number | 8476807100 |
| Fax Number | 8474063345 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gandhi Kavitha |
| Credentials | M.D. |
| Telephone Number | 8476807100 |
NPI Number Detail
| NPI Number | 1902977937 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 351 S. Greenleaf |
|---|---|
| City | Park City |
| State | Illinois (IL) |
| Post Code | 60085 |
| Phone Number | 8476807100 |
| Fax Number | 8474063345 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 336067198 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lake Shore Dermatology, Ltd. by the Centers for Medicare & Medicaid Services?
The Lake Shore Dermatology, Ltd. has been assigned the NPI (National Provider Identifier) 1902977937. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lake Shore Dermatology, Ltd.'s facilities are geographically located?
The facilities of Lake Shore Dermatology, Ltd. are physically situated at the following location: 351 S. Greenleaf, Park City, IL, 60085.
What is Lake Shore Dermatology, Ltd.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake Shore Dermatology, Ltd. is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
When did the Lake Shore Dermatology, Ltd. receive its 1902977937?
The Lake Shore Dermatology, Ltd. was issued its 1902977937 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Lake Shore Dermatology, Ltd.'s details last updated?
The information pertaining to the Lake Shore Dermatology, Ltd., including its address, specialty, and other details, was most recently updated on 2020-08-22.