Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C.
Active OrganizationProcedural Dermatology · JOLIET, IL
Registration Details
- NPI Number
- 1700987328
- Provider Type
- Organization
- NPI Issued
- Sep 26, 2006 (19.570046485359 yrs)
- Last Updated
- Mar 22, 2017
- Licenses
-
036109103 (IL)085002224 (IL)036108932 (IL)
Practice Information
- Address
-
1124 ESSINGTON RDJOLIET, IL, 604358423Browse IL providers · Browse ZIP 60435
- Phone
- 8157448554
- Fax
- 8157443969
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Procedural Dermatology
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.