Organization
DERMATOLOGY ASSOCIATES LTD
Active
Organization
DERMATOLOGY ASSOCIATES LTD
Active
Parent organization
DERMATOLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY ASSOCIATES
Authorized official
VIVEK IYENGAR MD (OWNER)
(708) 444-8300
Entity
Organization
Contact information
Practice address
13401 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-1898
(708) 444-8300
Mailing address
18425 W CREEK DR STE F, TINLEY PARK, IL 60477-6768
(708) 444-8300
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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