NAHD SC NPI 1881695468

NPI Information

  • NPI: 1881695468
  • Provider Name: NAHD SC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: HARTSOUGH DERMATOLOGY
  • Address: 7402 E RIVERSIDE BLVD
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 226-9642

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NPI Details

NAHD SC is a specialist in Loves Park, 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. NAHD SC NPI is 1881695468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hartsough Dermatology.

The provider's business location address is:

7402 E RIVERSIDE BLVD
LOVES PARK, IL
ZIP 61111-630
Phone: (815) 226-9642
Fax: (815) 226-9672

The provider's authorized official is Nicole Ann Hartsough .
The authorized official title is Owner and has the following contact phone number (815) 226-9642.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/2/2007.

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
1174400000XSpecialistILLINOISYes

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
1211575MEDICARE PINILLINOIS
2K170159OTHERILLINOISMEMBER #
3C45636MEDICARE UPINILLINOIS

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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