Organization
DEERFIELD DERMATOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GOTTFREDSEN (ADMINISTRATOR)
(847) 480-0004
Entity
Organization
Contact information
Practice address
707 LAKE COOK RD, SUITE #280, DEERFIELD, IL 60015-4909
(847) 480-0004
(847) 480-8707
Mailing address
707 LAKE COOK RD, SUITE #280, DEERFIELD, IL 60015-4909
(847) 480-0004
(847) 480-8707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042-618435
IL
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
10/11/2006
Last updated
11/01/2022
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