Loop Dermatology & Acne Care Center Llc in Chicago - Clinic/center
Loop Dermatology & Acne Care Center Llc - NPI 1104093483
Loop Dermatology & Acne Care Center Llc is a Clinic/center in Chicago, Illinois. Loop Dermatology & Acne Care Center Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Loop Dermatology & Acne Care Center Llc is 1104093483. The last update date is 2013-11-06.
Loop Dermatology & Acne Care Center Llc's current location address is 111 N Wabash Ave, Chicago, Illinois. You can contact this provider via phone number 3125191465. The mailing address for Loop Dermatology & Acne Care Center Llc is 111 N Wabash Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Loop Dermatology & Acne Care Center Llc |
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Address | 111 N Wabash Ave, Chicago, Illinois |
Phone Number | 3125191465 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Burgess Michele |
Credentials | MD |
Telephone Number | 3125191465 |
NPI Number Detail
NPI Number | 1104093483 |
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Provider Enumeration Date | 2008-05-14 |
Last Updated Date | 2013-11-06 |
Provider Mailing Address Detail
Address | 111 N Wabash Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606021903 |
Phone Number | 3125191465 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Licence No | 3610878 |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique 10-digit identification code issued to Loop Dermatology & Acne Care Center Llc by the Centers for Medicare & Medicaid Services?
The Loop Dermatology & Acne Care Center Llc has been assigned the NPI (National Provider Identifier) 1104093483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Loop Dermatology & Acne Care Center Llc's physical address?
The Loop Dermatology & Acne Care Center Llc is physically located at 111 N Wabash Ave, in the city of Chicago, IL, with the postal code 606021903.
What is Loop Dermatology & Acne Care Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Loop Dermatology & Acne Care Center Llc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Loop Dermatology & Acne Care Center Llc receive its 1104093483 assignment from the Centers for Medicare & Medicaid Services?
The Loop Dermatology & Acne Care Center Llc was assigned its 1104093483 by the Centers for Medicare & Medicaid Services on 2008-05-14.
As of what date was the information pertaining to Loop Dermatology & Acne Care Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Loop Dermatology & Acne Care Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-11-06.
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