Illinois Dermatology Institute, Llc
LBN: Illinois Dermatology Institute, Llc
Illinois Dermatology Institute, Llc is an health care organization with primary practice located at 1550 N Northwest Hwy Suite 300, Park Ridge IL 60068-1411. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Illinois Dermatology Institute, Llc can be contacted via phone (847) 298-1831, or through Mandrea, Steven via phone (847) 298-1831.
Contact Information
Primary practice address
1550 N Northwest Hwy Suite 300
Park Ridge IL 60068-1411
Phone: (847) 298-1831
Fax: (847) 298-1832
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 036111710 | Illinois |
Profile Details
NPI number | 1447613989 |
---|---|
LBN Legal business name | Illinois Dermatology Institute, Llc |
DBA Doing business as | |
Authorized official | Mandrea, Steven Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 1st, 2016 |
Last updated | Apr 1st, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447613989 | NPPES |
Illinois | MEDICAID | 036111710 | |
Illinois | Other | 1386663631 |
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