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14D2190275 CLIA NUMBER - DOLEHIDE DERMATOLOGY

Laboratory Demographics

CLIA Number: 14D2190275

Facility Name: DOLEHIDE DERMATOLOGY

Facility Address:
4400 W 95TH STREET SUITE 406
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 815 215-8292

Facility Type: Practitioner Other

Certificate Type: Certificate of Compliance
NPI Number: 1003425836

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 14D2190275
LAB Type Practitioner Other
Facility Name DOLEHIDE DERMATOLOGY
Street 4400 W 95TH STREET SUITE 406
City OAK LAWN
State IL
ZIP 60453
Phone 815 215-8292
CertificateType 2
CertificateEffectiveDate 1/31/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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