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14D1090064 CLIA NUMBER - RADIANT DERMATOLOGY - A FOREFRONT DERMATOLOGY PRAC FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

CLIA Number: 14D1090064

Facility Name: RADIANT DERMATOLOGY - A FOREFRONT DERMATOLOGY PRAC FOREFRONT DERMATOLOGY, SC

Facility Address:
1740 MEDITERRANEAN DR, STE 102
SYCAMORE, IL
ZIP 60178
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Facility Phone Number: 815 981-4990

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1871999680

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 14D1090064
LAB Type Physician Office
Facility Name RADIANT DERMATOLOGY - A FOREFRONT DERMATOLOGY PRAC FOREFRONT DERMATOLOGY, SC
Street 1740 MEDITERRANEAN DR, STE 102
City SYCAMORE
State IL
ZIP 60178
Phone 815 981-4990
CertificateType 2
CertificateEffectiveDate 7/2/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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