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DRS ROBIN & FRETZIN SC NPI 1003026048


NPI Information

NPI: 1003026048
Provider Name: DRS ROBIN & FRETZIN SC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
41 S PROSPECT AVE
PARK RIDGE, IL
ZIP 60068
Phone: (847) 823-4113
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DRS ROBIN & FRETZIN SC is a procedural dermatology dermatology in Park Ridge, IL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DRS ROBIN & FRETZIN SC NPI is 1003026048. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

41 S PROSPECT AVE
PARK RIDGE, IL
ZIP 60068-138
Phone: (847) 823-4113
Fax: (847) 823-0059

The provider's authorized official is Jill Sutherland .
The authorized official title is Supervisor and has the following contact phone number (847) 459-6495.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology036022673ILLINOISNo
2207N00000XDermatology036038658ILLINOISNo
3207N00000XDermatology036022673ILLINOISNo
4207ND0900XDermatologyDermatopathology036038658ILLINOISNo
5207NS0135XDermatologyProcedural Dermatology036038658ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C41150MEDICARE UPINILLINOIS
2070003505MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MC# FOR FRETZIN
30001615219OTHERILLINOISDF BCBS PROV#
4453460MEDICARE ID-TYPE UNSPECIFIEDILLINOISFRETZIN PIN#
5036038658OTHERILLINOISDF STATE LIC#
61891784401OTHERFRETZIN NPI#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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