Dy, Lady C

Dy, Lady C is an individual health care provider with primary practice located at 1452 Waukegan Rd , Glenview IL 60025-2121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Dy, Lady C can be contacted via phone (847) 832-1185.

Contact Information

Primary practice address
1452 Waukegan Rd Glenview IL 60025-2121
Phone: (847) 832-1185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036110662 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036110662 Illinois

Profile Details

NPI number 1467462929
LBN Legal business name Dy, Lady C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467462929 NPPES
Illinois MEDICAID 0361106621

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