Dermatology Specialists Of Illinois, Ltd

LBN: Dermatology Specialists Of Illinois, Ltd
Dermatology Specialists Of Illinois, Ltd is an health care organization with primary practice located at 2430 Esplanade Drive Suite B, Algonquin IL 60102. 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. Dermatology Specialists Of Illinois, Ltd can be contacted via phone (212) 627-6515, or through Khanna, Vikram via phone (847) 528-1177.

Contact Information

Primary practice address
2430 Esplanade Drive Suite B Algonquin IL 60102
Phone: (212) 627-6515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khanna, Vikram
Phone: (847) 528-1177

Health care specialties

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

Profile Details

NPI number 1144610080
LBN Legal business name Dermatology Specialists Of Illinois, Ltd
DBA Doing business as
Authorized official Khanna, Vikram
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2015
Last updated Jun 26th, 2023 - about last year

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 1144610080 NPPES
Illinois MEDICAID 1093219610

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