Elk Grove Dermatology, S.C.

LBN: Elk Grove Dermatology, S.C.
Elk Grove Dermatology, S.C. is an health care organization with primary practice located at 901 Biesterfield Rd Ste 209 , Elk Grove Village IL 60007-7300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Elk Grove Dermatology, S.C. can be contacted via phone (847) 593-6222, or through Polisky, Robert B via phone (847) 593-6222.

Contact Information

Primary practice address
901 Biesterfield Rd Ste 209 Elk Grove Village IL 60007-7300
Fax:
Website:
Authorized official contact:
Name: Polisky, Robert B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1386769271
LBN Legal business name Elk Grove Dermatology, S.C.
DBA Doing business as
Authorized official Polisky, Robert B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Oct 25th, 2007 - about 17 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 1386769271 NPPES
Illinois Other 916-120 MEDICARE GROUP

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