Crystal Lake Dermatology Sc

LBN: Crystal Lake Dermatology Sc
Crystal Lake Dermatology Sc is an health care organization with primary practice located at 278 Memorial Dr , Crystal Lake IL 60014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Crystal Lake Dermatology Sc can be contacted via phone (815) 477-9867, or through Chin, Jamie So-Yung via phone (815) 477-9858.

Contact Information

Primary practice address
278 Memorial Dr Crystal Lake IL 60014
Phone: (815) 477-9867
Fax: (815) 477-9868
Website:
Map and Directions
Authorized official contact:
Name: Chin, Jamie So-Yung Doctor of Medicine (MD)
Phone: (815) 477-9858

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1982777231
LBN Legal business name Crystal Lake Dermatology Sc
DBA Doing business as
Authorized official Chin, Jamie So-Yung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 29th, 2013 - about 11 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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