Individual
CURTIS DANIEL LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036176561
IL
207N00000X
Dermatology Physician
13012-320
WI
207ND0101X
MOHS-Micrographic Surgery Physician
13012-320
WI
Other
Enumeration date
03/26/2019
Last updated
11/06/2025
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