Derick Dermatology, Pllc

NPI #1174097836 in Libertyville, Illinois

Provider Information

NPI Number: 1174097836
Entity Type: Organization
Organization Name: Derick Dermatology, Pllc
Primary Specialty: Dermatology
Enumeration Date: Jan 16, 2019
Last Updated: Sep 9, 2022

Practice Location

Address: 950 TECHNOLOGY WAY
Address 2: SUITE 150
City: Libertyville
State: Illinois
ZIP Code: 60048
Phone: (847) 381-8899

Authorized Official

Name: AMY DERICK, MD
Title: MEDICAL DOCTOR
Phone: (847) 381-8899

Specialties & Taxonomy Codes

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

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