Elderderm Sc

LBN: Elderderm Sc
Elderderm Sc is an health care organization with primary practice located at 400 E Randolph St Suite 2407, Chicago IL 60601-7329. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Elderderm Sc can be contacted via phone (312) 371-7517, or through Phillips, Scott Brent via phone (312) 371-7517.

Contact Information

Primary practice address
400 E Randolph St Suite 2407 Chicago IL 60601-7329
Phone: (312) 371-7517
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Scott Brent Doctor of Medicine (MD)
Phone: (312) 371-7517

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36-087861 Illinois

Profile Details

NPI number 1245577667
LBN Legal business name Elderderm Sc
DBA Doing business as
Authorized official Phillips, Scott Brent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2013
Last updated Jul 18th, 2013 - about 12 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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