Organization
BAKAL DERMATOLOGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S. BAKAL M.D. (PRESIDENT)
(847) 882-9300
Entity
Organization
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE #100, HOFFMAN ESTATES, IL 60169-1016
(847) 882-9300
(847) 882-9348
Mailing address
1786 MOON LAKE BLVD, SUITE #100, HOFFMAN ESTATES, IL 60169-1016
(847) 882-9300
(847) 882-9348
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621016
BCBS
—
Enumeration date
07/19/2005
Last updated
01/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us