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Organization

ILLINOIS DERMATOLOGY INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH A. LOPATKA MD (PRESIDENT)
(708) 218-5874
Entity
Organization

Contact information

Practice address
9711 SKOKIE BLVD, SUITE J., SKOKIE, IL 60077-1384
(847) 675-9711
Mailing address
903 COMMERCE DR STE 302, OAK BROOK, IL 60523-8830
(847) 769-3539
(708) 671-1378

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/19/2009
Last updated
05/28/2025
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