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PINNACLE DERMATOLOGY SC NPI 1972274777


NPI Information

NPI: 1972274777
Provider Name: PINNACLE DERMATOLOGY, SC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 14D2058078

Address:
595 WILLIAM LATHAM DR
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 936-9002
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PINNACLE DERMATOLOGY, SC is a non pharmacy dispensing site in Bourbonnais, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PINNACLE DERMATOLOGY, SC NPI is 1972274777. The provider is registered as an organization entity type.

The provider's business location address is:

595 WILLIAM LATHAM DR
BOURBONNAIS, IL
ZIP 60914-319
Phone: (815) 936-9002

The provider's authorized official is Paula Kaye Lapinski .
The authorized official title is Owner and has the following contact phone number (815) 744-8554.

The CLIA number assigned to this NPI record is 14D2058078 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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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