Northside Dermatology, S.c.
Specialty details in registry · Chicago, IL
At a glance
1663 W Carmen Ave, Chicago, IL 60640-2701
NPPES record updated Apr 20, 2020. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1663 W Carmen AveChicago, IL 60640-2701
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM2500X
- Enumeration date
- Oct 14, 2016
- Record updated
- Apr 20, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM2500X · Primary
License reported: 036.132972 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1663 W Carmen AveChicago, IL 60640-2701
- Phone
- (312) 420-7409
Mailing address
1663 W CARMEN AVECHICAGO, IL 606402701
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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