Dermatology Associates Of Hinsdale, S.C.

LBN: Dermatology Associates Of Hinsdale, S.C.
Dermatology Associates Of Hinsdale, S.C. is an health care organization with primary practice located at 333 Chestnut St Suite 202, Hinsdale IL 60521-3247. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Associates Of Hinsdale, S.C. can be contacted via phone (630) 325-6880, or through Ertle, James O via phone (630) 325-6880.

Contact Information

Primary practice address
333 Chestnut St Suite 202 Hinsdale IL 60521-3247
Fax: (630) 325-5975
Website:
Authorized official contact:
Name: Ertle, James O Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-043180 Illinois

Profile Details

NPI number 1679695829
LBN Legal business name Dermatology Associates Of Hinsdale, S.C.
DBA Doing business as
Authorized official Ertle, James O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Sep 16th, 2008 - about 16 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 1679695829 NPPES
Illinois Other 1679695829 BCBSIL
Illinois Other 1679695829 BCBSIL

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