Integrated Dermatology of Calumet City LLC
NPI #1770966459 in Calumet City, Illinois
Provider Information
- NPI Number
- 1770966459
- Entity Type
- Organization
- Organization Name
- Integrated Dermatology of Calumet City LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jan 15, 2019
Practice Location
- Address
- 19 RIVER OAKS DR
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5802
- Phone
- (708) 862-1290
Authorized Official
- Name
- JEFFREY QUEEN
- Title
- MANAGER
- Phone
- (561) 314-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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Organizations
| Provider Name | |
|---|---|
| Calumet Dermatology Assoc S C | AI Deep Dive |
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