Dermatology Specialists of Illinois, Ltd

NPI #1144610080 in Algonquin, Illinois

Provider Information

NPI Number: 1144610080
Entity Type: Organization
Organization Name: Dermatology Specialists of Illinois, Ltd
Primary Specialty: Dermatology
Enumeration Date: Jan 30, 2015
Last Updated: Jun 26, 2023

Practice Location

Address: 2430 ESPLANADE DRIVE
Address 2: SUITE B
City: Algonquin
State: Illinois
ZIP Code: 60102
Phone: (212) 627-6515

Authorized Official

Name: VIKRAM KHANNA
Title: PRESIDENT
Phone: (847) 528-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X
Dermatology	207N00000X	Primary

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Lauren Marie Boshnick, MD	Dermatology	Algonquin	AI Deep Dive
DR. Vikram J Khanna, MD	Dermatology	Algonquin	AI Deep Dive
DR. Laurence Martin Bradley JR., M.D.	Dermatology	Algonquin	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Legacy Dermatology Pllc	Dermatology	Algonquin	AI Deep Dive

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