Tina C Venetos Md

LBN: Northshore Dermatology Center Sc
Tina C Venetos Md is an health care organization with primary practice located at 925 Sherwood Dr , Lake Bluff IL 60044-2203. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Northshore Dermatology Center Sc can be contacted via phone (847) 234-1177, or through Venetos, Tina C via phone (847) 234-1177.

Contact Information

Primary practice address
925 Sherwood Dr Lake Bluff IL 60044-2203
Phone: (847) 234-1177
Fax: (847) 234-1875
Website:
Map and Directions
Authorized official contact:
Name: Venetos, Tina C Doctor of Medicine (MD)
Phone: (847) 234-1177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036084683 Illinois

Profile Details

NPI number 1841315884
LBN Legal business name Northshore Dermatology Center Sc
DBA Doing business as Tina C Venetos Md
Authorized official Venetos, Tina C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 31st, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841315884 NPPES
Illinois Other 01608107 BLUE CROSS BLUE SHIELD

Popular Providers