Conrad Petersen Dermatology Sc

LBN: Conrad Petersen Dermatology Sc
Conrad Petersen Dermatology Sc is an health care organization with primary practice located at 2845 N Sheridan , Chicago IL 60657. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Conrad Petersen Dermatology Sc can be contacted via phone (773) 832-7443, or through Petersen, Erin via phone (314) 518-0403.

Contact Information

Primary practice address
2845 N Sheridan Chicago IL 60657
Phone: (773) 832-7443
Fax: (773) 295-4126
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Erin Doctor of Medicine (MD)
Phone: (314) 518-0403

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1487116240
LBN Legal business name Conrad Petersen Dermatology Sc
DBA Doing business as
Authorized official Petersen, Erin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2019
Last updated Mar 19th, 2020 - about 6 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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