Organization
DES PLAINES DERMATOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE HOAG MD (OWNER)
(847) 518-9381
Entity
Organization
Contact information
Practice address
1455 E GOLF RD, SUITE 104, DES PLAINES, IL 60016-1250
(773) 935-4700
(773) 935-2595
Mailing address
1455 E GOLF RD, SUITE 104, DES PLAINES, IL 60016-1250
(773) 935-4700
(773) 935-2595
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174529762
NPI
IL
Enumeration date
06/22/2010
Last updated
06/22/2010
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