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Organization

DERMATOLOGY ASSOCIATES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVEK IYENGAR (OWNER)
(708) 444-8300
Entity
Organization

Contact information

Practice address
18425 W CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301
Mailing address
18425 W CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042618383
IL
332900000X
Non-Pharmacy Dispensing Site

Other

Enumeration date
05/08/2007
Last updated
12/07/2021
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