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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