Associated Dermatologists Ltd.

LBN: Associated Dermatologists Ltd.
Associated Dermatologists Ltd. is an health care organization with primary practice located at 2951 Montvale Dr Suite B, Springfield IL 62704-5341. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Associated Dermatologists Ltd. can be contacted via phone (217) 726-6429, or through Newell, Larry M. via phone (217) 726-6429.

Contact Information

Primary practice address
2951 Montvale Dr Suite B Springfield IL 62704-5341
Phone: (217) 726-6429
Fax: (217) 726-6786
Website:
Map and Directions
Authorized official contact:
Name: Newell, Larry M. Doctor of Medicine (MD)
Phone: (217) 726-6429

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois

Profile Details

NPI number 1184761066
LBN Legal business name Associated Dermatologists Ltd.
DBA Doing business as
Authorized official Newell, Larry M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 7th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184761066 NPPES
Illinois Other BLUECROSSBLUE SHIELD GROUP PROVIDER #

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