Organization
ELITE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PRODANOVIC MD (OWNER)
(415) 802-1310
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST STE 500, CHICAGO, IL 60657-5194
(773) 871-7000
Mailing address
3000 N HALSTED ST STE 500, CHICAGO, IL 60657-5194
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up