DERMATOLOGY SPECIALIST LTD NPI 1255424552

NPI Information

  • NPI: 1255424552
  • Provider Name: DERMATOLOGY SPECIALIST, LTD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2740 W FOSTER AVE SUITE 305
    CHICAGO, IL
    ZIP 60625
  • Phone: (773) 271-4442

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NPI Details

DERMATOLOGY SPECIALIST, LTD is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY SPECIALIST, LTD NPI is 1255424552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2740 W FOSTER AVE SUITE 305
CHICAGO, IL
ZIP 60625
Phone: (773) 271-4442
Fax: (773) 271-4474

The provider's authorized official is Barry Kirschenbaum .
The authorized official title is Physician and has the following contact phone number 77332714442.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 5/13/2008.

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
1174400000XSpecialist036035278ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG9713OTHERILLINOISRAIL ROAD MEDICARE
2423111MEDICARE PIN
3C41400MEDICARE UPIN
4036035278MEDICAIDILLINOIS

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: 11/21/2025

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