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
Address 111 N Wabash Ave, Chicago, Illinois
Phone Number 3125191465
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Burgess Michele
Credentials MD
Telephone Number 3125191465

NPI Number Detail

NPI Number 1104093483
Provider Enumeration Date 2008-05-14
Last Updated Date 2013-11-06

Provider Mailing Address Detail

Address 111 N Wabash Ave
City Chicago
State Illinois (IL)
Post Code 606021903
Phone Number 3125191465
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
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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FAQs about Loop Dermatology & Acne Care Center Llc

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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