Southwest Dermatology, PC
Southwest Dermatology, PC is a Dermatology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7123 W Archer AveChicago, IL 60638-2203
Phone: (773) 586-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X (IL) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X (IL) |
Record details
| NPI number | 1235374919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Moreno — Credentialing Specialist · (773) 586-4506 |
| NPI enumerated | December 9, 2008 |
| Last updated in NPPES | December 9, 2008 |
| Mailing address | 7123 W Archer Ave, Chicago, IL 60638-2203 |
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