Bakal, Debra A.
Bakal, Debra A. is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite #100, Hoffman Estates IL 60169-1016. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bakal, Debra A. can be contacted via phone (847) 882-9300.Contact Information
Primary practice address
1786 Moon Lake Blvd Suite #100
Hoffman Estates IL 60169-1016
Phone: (847) 882-9300
Fax: (847) 882-9348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036086031 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 036086031 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036086031 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036086031 | Illinois |
Profile Details
| NPI number | 1932108255 |
|---|---|
| LBN Legal business name | Bakal, Debra A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jan 29th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932108255 | NPPES |
| Other | 1621016 | BCBS | |
| MEDICAID | 0360860311 | BCBS |
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