Organization
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM KHANNA (PRESIDENT)
(847) 528-1177
Entity
Organization
Contact information
Practice address
2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL 60102
(212) 627-6515
Mailing address
2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL 60102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093219610
—
IL
Enumeration date
01/30/2015
Last updated
06/26/2023
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