Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Dermatology of Calumet City LLC

Organization Dermatology Physician · NPI 1770966459

Integrated Dermatology of Calumet City LLC is a Dermatology Physician in Calumet City, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 River Oaks Dr
Calumet City, IL 60409-5802
Phone: (708) 862-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1770966459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJune 30, 2015
Last updated in NPPESJanuary 15, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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