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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHWEST DERMATOLOGY

Active Organization

SOUTHWEST DERMATOLOGY is a Dermatology organization located in NEW LENOX, Illinois. NPI 1619260247 is currently active in the NPPES registry. Verify at CMS.

Dermatology · NEW LENOX, IL

Registration Details

NPI Number
1619260247
Provider Type
Organization
NPI Issued
May 16, 2011 (15.270517877595 yrs)
Last Updated
Jun 21, 2011
Licenses
36111373 (IL)
36116569 (IL)
36059742 (IL)

Practice Information

Address
1870 SILVER CROSS BOULEVARD
SUITE 250
NEW LENOX, IL, 60451
Browse IL providers · Browse ZIP 60451
Phone
8154638989
Fax
8154638948
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Dermatology

Other Dermatology Organizations in NEW LENOX, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.