Organization
NORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SOLOMON M.D. (PRESIDENT)
(847) 662-8201
Entity
Organization
Contact information
Practice address
1O3 S GREENLEAF ST, SUITE J, GURNEE, IL 60031-3370
(847) 662-8201
(847) 662-8215
Mailing address
1O3 S GREENLEAF ST, SUITE J, GURNEE, IL 60031-3370
(847) 662-8201
(847) 662-8215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356495030
DUBIN NPI
IL
01
—
1558316281
SOLOMON NPI
IL
01
—
4044905
AETNA - SAMUEL SOLOMON
IL
01
—
4392571
AETNA- BENJAMIN DUBIN,MD
IL
01
—
453550
MEDICARE GRP
IL
01
—
6945148002
CIGNA - SAMUEL SOLOMON
IL
01
—
7248829002
CIGNA- BENJAMIN DUBIN, MD
IL
01
—
K39549
MDR INVIDUAL SOLOMON
IL
01
—
K39550
MDR INDIVIDUAL DUBIN
IL
01
—
O4920144
BCBS PROVIDER NUMBER
IL
Enumeration date
05/16/2006
Last updated
02/12/2008
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