Elderderm SC
Elderderm SC provides Dermatology Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
400 E Randolph St Ste 2407Chicago, IL 60601-7329 Not confirmed with CMS for 13 years — call before visiting
Phone: (312) 371-7517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 36-087861 (IL) |
|---|
Record details
| NPI number | 1245577667 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Phillips — President / Ceo · (312) 371-7517 |
| NPI enumerated | January 4, 2013 |
| Last updated in NPPES | July 18, 2013 |
| Mailing address | 400 E Randolph St, Suite 2407, Chicago, IL 60601-7329 |
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