NORTHSIDE DERMATOLOGY, S.C. is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHSIDE DERMATOLOGY, S.C. NPI is 1861943888. The provider is registered as an organization entity type.
The provider's business location address is:
1663 W CARMEN AVE
CHICAGO, IL
ZIP 60640-701
Phone: (312) 420-7409
The provider's authorized official is James A Ida .
The authorized official title is Practice Owner and has the following contact phone number (773) 293-7500.
The enumeration date for this NPI number is 10/14/2016 and was last updated on 4/20/2020.