Advanced Dermatology Clinic, Inc
Advanced Dermatology Clinic, Inc is a Dermatology Physician in Freeport, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1036 W Stephenson StFreeport, IL 61032-4865
Phone: (888) 423-7880
Fax: (608) 826-0281
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1881167278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Advanced Dermatology, Inc |
| Authorized official | Harry Sharata — Medical Director · (608) 826-0285 |
| NPI enumerated | January 8, 2019 |
| Last updated in NPPES | June 10, 2020 |
| Certification date | June 10, 2020 |
| Mailing address | 6510 Grand Teton Plz Ste 302, Madison, WI 53719-1029 |
Other providers in Freeport
-
Azim J Khan, MD
1036 W Stephenson St, Freeport, IL 61032-4865 · (815) 599-6000