Innovative Dermatology

LBN: Innovative Dermatology
Innovative Dermatology is an health care organization with primary practice located at 5140 N California Ave Suite 660, Chicago IL 60625-3645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Innovative Dermatology can be contacted via phone (773) 907-8454, or through Thrash, Candace M via phone (773) 907-8454.

Contact Information

Primary practice address
5140 N California Ave Suite 660 Chicago IL 60625-3645
Phone: (773) 907-8454
Fax: (773) 907-6336
Website:
Map and Directions
Authorized official contact:
Name: Thrash, Candace M Doctor of Medicine (MD)
Phone: (773) 907-8454

Health care specialties

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

Profile Details

NPI number 1154363844
LBN Legal business name Innovative Dermatology
DBA Doing business as
Authorized official Thrash, Candace M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 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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