Hartsough Dermatology

LBN: Nahd Sc
Hartsough Dermatology is an health care organization with primary practice located at 7402 E Riverside Blvd , Loves Park IL 61111-5630. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Nahd Sc can be contacted via phone (815) 226-9642, or through Hartsough, Nicole Ann via phone (815) 226-9642.

Contact Information

Primary practice address
7402 E Riverside Blvd Loves Park IL 61111-5630
Phone: (815) 226-9642
Fax: (815) 226-9672
Website:
Map and Directions
Authorized official contact:
Name: Hartsough, Nicole Ann Doctor of Medicine (MD)
Phone: (815) 226-9642

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1881695468
LBN Legal business name Nahd Sc
DBA Doing business as Hartsough Dermatology
Authorized official Hartsough, Nicole Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 2nd, 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 1881695468 NPPES
Illinois Other K170159 MEMBER #

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