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Organization

DERICK DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY JANE DERICK MD (MEDICAL DIRECTOR)
(847) 381-8899
Entity
Organization

Contact information

Practice address
5250 OLD ORCHARD RD STE 110, SKOKIE, IL 60077-4461
(847) 381-8899
Mailing address
PO BOX 6685, CAROL STREAM, IL 60197-6685

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/20/2020
Last updated
09/09/2022
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