Advanced Dermatology Clinic, Inc.

LBN: Advanced Dermatology Clinic, Inc.
Advanced Dermatology Clinic, Inc. is an health care organization with primary practice located at 1036 W Stephenson St , Freeport IL 61032-4865. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Clinic, Inc. can be contacted via phone (888) 423-7880, or through Sharata, Harry via phone (608) 826-0285.

Contact Information

Primary practice address
1036 W Stephenson St Freeport IL 61032-4865
Phone: (888) 423-7880
Fax: (608) 826-0281
Website:
Map and Directions
Authorized official contact:
Name: Sharata, Harry Doctor of Medicine (MD)
Phone: (608) 826-0285

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1881167278
LBN Legal business name Advanced Dermatology Clinic, Inc.
DBA Doing business as
Authorized official Sharata, Harry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2019
Last updated Jun 10th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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