Chicago Cosmetic Surgery And Dermatology Sc

LBN: Chicago Cosmetic Surgery And Dermatology Sc
Chicago Cosmetic Surgery And Dermatology Sc is an health care organization with primary practice located at 515 N State St Ste 900 , Chicago IL 60654-9104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Chicago Cosmetic Surgery And Dermatology Sc can be contacted via phone (312) 245-9965, or through Jacob, Carolyn via phone (312) 245-9965.

Contact Information

Primary practice address
515 N State St Ste 900 Chicago IL 60654-9104
Phone: (312) 245-9965
Fax: (312) 245-9964
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Carolyn
Phone: (312) 245-9965

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-102098 Illinois

Profile Details

NPI number 1407068000
LBN Legal business name Chicago Cosmetic Surgery And Dermatology Sc
DBA Doing business as
Authorized official Jacob, Carolyn
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jul 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407068000 NPPES
Illinois Other 1634805 BLUE CROSS BLUE SHIELD

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