Organization
DERICK DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY JANE DERICK M.D. (MEDICAL DIRECTOR)
(847) 381-8899
Entity
Organization
Contact information
Practice address
85 W ALGONQUIN ROAD, SUITE 220, ARLINGTON HEIGHTS, IL 60005
(847) 381-8899
(847) 381-8999
Mailing address
PO BOX 6685, CAROL STREAM, IL 60197-6685
(847) 381-8899
(847) 381-8999
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
36112935
IL
207N00000X
Dermatology Physician
Primary
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
05/31/2006
Last updated
07/12/2024
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