Derick Dermatology, Pllc

LBN: Derick Dermatology, Pllc
Derick Dermatology, Pllc is an health care organization with primary practice located at 1147 South Blvd , Oak Park IL 60302-2812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Derick Dermatology, Pllc can be contacted via phone (847) 381-8899, or through Derick, Amy Jane via phone (847) 381-8899.

Contact Information

Primary practice address
1147 South Blvd Oak Park IL 60302-2812
Phone: (847) 381-8899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derick, Amy Jane Doctor of Medicine (MD)
Phone: (847) 381-8899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1154998425
LBN Legal business name Derick Dermatology, Pllc
DBA Doing business as
Authorized official Derick, Amy Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2021
Last updated Sep 9th, 2022 - about 2 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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