Bakal, Debra A.

Bakal, Debra A. is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite #100, Hoffman Estates IL 60169-1016. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bakal, Debra A. can be contacted via phone (847) 882-9300.

Contact Information

Primary practice address
1786 Moon Lake Blvd Suite #100 Hoffman Estates IL 60169-1016
Phone: (847) 882-9300
Fax: (847) 882-9348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036086031 Illinois
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 036086031 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036086031 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036086031 Illinois

Profile Details

NPI number 1932108255
LBN Legal business name Bakal, Debra A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932108255 NPPES
Other 1621016 BCBS
MEDICAID 0360860311 BCBS

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