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14D1035201 CLIA NUMBER - NORTHSHORE CENTER FOR MEDICAL AESTHETICS

Laboratory Demographics

CLIA Number: 14D1035201

Facility Name: NORTHSHORE CENTER FOR MEDICAL AESTHETICS

Facility Address:
1535 LAKE COOK RD, STE 401
NORTHBROOK, IL
ZIP 60062
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Facility Phone Number: 847 480-1111

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1508901307

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 14D1035201
LAB Type Physician Office
Facility Name NORTHSHORE CENTER FOR MEDICAL AESTHETICS
Street 1535 LAKE COOK RD, STE 401
City NORTHBROOK
State IL
ZIP 60062
Phone 847 480-1111
CertificateType 2
CertificateEffectiveDate 5/4/2022
CertificateExpirationDate 5/3/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024