Lake Shore Dermatology, Ltd.

LBN: Lake Shore Dermatology, Ltd.
Lake Shore Dermatology, Ltd. is an health care organization with primary practice located at 351 S. Greenleaf Suite E, Park City IL 60085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lake Shore Dermatology, Ltd. can be contacted via phone (847) 680-7100, or through Gandhi, Kavitha via phone (847) 680-7100.

Contact Information

Primary practice address
351 S. Greenleaf Suite E Park City IL 60085
Phone: (847) 680-7100
Fax: (847) 406-3345
Website:
Map and Directions
Authorized official contact:
Name: Gandhi, Kavitha Doctor of Medicine (MD)
Phone: (847) 680-7100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 336067198 Illinois

Profile Details

NPI number 1902977937
LBN Legal business name Lake Shore Dermatology, Ltd.
DBA Doing business as
Authorized official Gandhi, Kavitha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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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