Legacy Dermatology Pllc

LBN: Legacy Dermatology Pllc
Legacy Dermatology Pllc is an health care organization with primary practice located at 2230 Huntington Dr N , Algonquin IL 60102-4419. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Legacy Dermatology Pllc can be contacted via phone (415) 802-1310, or through Bradley, Laurence via phone (415) 802-1310.

Contact Information

Primary practice address
2230 Huntington Dr N Algonquin IL 60102-4419
Phone: (415) 802-1310
Fax: (847) 960-3675
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Laurence Doctor of Medicine (MD)
Phone: (415) 802-1310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1053024554
LBN Legal business name Legacy Dermatology Pllc
DBA Doing business as
Authorized official Bradley, Laurence Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2022
Last updated May 22nd, 2023 - about 3 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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