Organization
DERICK DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JANE DERICK (SOLE OWNER)
(847) 381-8899
Entity
Organization
Contact information
Practice address
230 COMMONS DR, GENEVA, IL 60134-2522
(847) 381-8899
Mailing address
230 COMMONS DR, GENEVA, IL 60134-2522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
02/23/2021
Last updated
09/09/2022
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