Legacy Dermatology PLLC
Legacy Dermatology PLLC is a Dermatology Physician in Algonquin, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2230 Huntington Dr NAlgonquin, IL 60102-4419
Phone: (415) 802-1310
Fax: (847) 960-3675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1053024554 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laurence Bradley — Md/Owner · (415) 802-1310 |
| NPI enumerated | December 29, 2022 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 2230 Huntington Dr N, Algonquin, IL 60102-4419 |
Other providers in Algonquin
-
Lauren Marie Boshnick, MD
2430 Esplanade Dr Ste B, Algonquin, IL 60102-5500 · (847) 458-7546
-
Dermatology Specialists of Illinois, Ltd
2430 Esplanade Dr Ste B, Algonquin, IL 60102 · (212) 627-6515
-
Dr. Vikram J Khanna, MD
2430 Esplanade Dr Ste B, Algonquin, IL 60102-5500 · (847) 458-7546