ILLINOIS DERMATOLOGY INSTITUTE, LLC is a medical specialty clinic center in Park Ridge, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ILLINOIS DERMATOLOGY INSTITUTE, LLC NPI is 1447613989. The provider is registered as an organization entity type.
The provider's business location address is:
1550 N NORTHWEST HWY
SUITE 300
PARK RIDGE, IL
ZIP 60068-411
Phone: (847) 298-1831
Fax: (847) 298-1832
The provider's authorized official is Steven Mandrea .
The authorized official title is Physician and has the following contact phone number (847) 298-1831.
The CLIA number assigned to this NPI record is 14D1071032 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/1/2016 and was last updated on 4/1/2016.