MIDWEST DERMATOLOGY INSTITUTE LLC NPI 1104314608

NPI Information

  • NPI: 1104314608
  • Provider Name: MIDWEST DERMATOLOGY INSTITUTE, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 500 E OGDEN AVE STE 200
    HINSDALE, IL
    ZIP 60521
  • Phone: (312) 498-4409

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NPI Details

MIDWEST DERMATOLOGY INSTITUTE, LLC is a multi-specialty clinic center in Hinsdale, IL. MIDWEST DERMATOLOGY INSTITUTE, LLC NPI is 1104314608. The provider is registered as an organization entity type.

The provider's business location address is:

500 E OGDEN AVE STE 200
HINSDALE, IL
ZIP 60521-480
Phone: (312) 498-4409

The provider's authorized official is Steven Goulder .
The authorized official title is Owner/medical Director and has the following contact phone number (312) 498-4409.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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