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DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES S.C. NPI 1700987328


NPI Information

NPI: 1700987328
Provider Name: DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C.
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
1124 ESSINGTON RD
JOLIET, IL
ZIP 60435
Phone: (815) 744-8554
Get Directions

DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. is a procedural dermatology dermatology in Joliet, IL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. NPI is 1700987328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1124 ESSINGTON RD
JOLIET, IL
ZIP 60435-423
Phone: (815) 744-8554
Fax: (815) 744-3969

The provider's authorized official is Jose Rios .
The authorized official title is V.p. and has the following contact phone number (815) 744-8554.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 3/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery036109103ILLINOISNo
2363AM0700XPhysician AssistantMedical085002224ILLINOISNo
3207NS0135XDermatologyProcedural Dermatology036108932ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1208370MEDICARE PINILLINOIS
209932211OTHERILLINOISBC/BS GROUP NUMBER

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: 11/14/2023

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