Cosmetic Dermatology&Surgerypc in Olympia Fields - Procedural Dermatology
Cosmetic Dermatology&Surgerypc - NPI 1629260039
Cosmetic Dermatology&Surgerypc is a Procedural Dermatology in Olympia Fields, Illinois. Cosmetic Dermatology&Surgerypc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Cosmetic Dermatology&Surgerypc is 1629260039. The last update date is 2007-09-12.
Cosmetic Dermatology&Surgerypc's current location address is 2605 Lincoln Hwy, Olympia Fields, Illinois. You can contact this provider via phone number 7084819370 and fax number 7084819369. The mailing address for Cosmetic Dermatology&Surgerypc is 2605 Lincoln Hwy, Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cosmetic Dermatology&Surgerypc |
|---|---|
| Address | 2605 Lincoln Hwy, Olympia Fields, Illinois |
| Phone Number | 7084819370 |
| Fax Number | 7084819369 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Panine V Vladimir |
| Credentials | MD. |
| Telephone Number | 7084819370 |
NPI Number Detail
| NPI Number | 1629260039 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 2605 Lincoln Hwy |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 604611846 |
| Phone Number | 7084819370 |
| Fax Number | 7084819369 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cosmetic Dermatology&Surgerypc by the Centers for Medicare & Medicaid Services?
The Cosmetic Dermatology&Surgerypc has been issued the NPI (National Provider Identifier) 1629260039, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Cosmetic Dermatology&Surgerypc is located?
The Cosmetic Dermatology&Surgerypc is situated at the following address: 2605 Lincoln Hwy, Olympia Fields, IL, 604611846.
What is the Cosmetic Dermatology&Surgerypc's area of specialization and corresponding taxonomy classification?
The Cosmetic Dermatology&Surgerypc's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.
On what date was the 1629260039 assigned to Cosmetic Dermatology&Surgerypc?
The Cosmetic Dermatology&Surgerypc was issued its 1629260039 on 2007-08-10, 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 Cosmetic Dermatology&Surgerypc most recently updated or revised?
The information pertaining to Cosmetic Dermatology&Surgerypc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-12.