M D Aesthetics and Dermatology LLC
M D Aesthetics and Dermatology LLC is a Dermatology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1021 W Adams St Ll # 1Chicago, IL 60607-2934
Phone: (312) 579-0700
Fax: (312) 579-0701
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 · Licence 036138747 (IL) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 036138747 (IL) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 036138747 (IL) |
Record details
| NPI number | 1437678133 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gabriel Martinez-Diaz — Medical Director/Dermatologist · (312) 579-0700 |
| NPI enumerated | September 13, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | December 6, 2021 |
| Mailing address | 1021 W. Adams St., Ll #1, Chicago, IL 60607 |
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