Center for Dermatology and Aesthetic Medicine, LLC
Dermatology practice in Chicago, IL
Registered providerLicense # listed (IL)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 755 N Wells St, Suite 201, Chicago, IL 60654
- Phone
- (312) 380-6747
- Listed under
- Practices and organizations, Cosmetic and laser (by name)
- NPI
- 1447601414
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- License number on NPI record
- 036139965 (IL)
- NPI first issued
- Jun 30, 2016
- Years since NPI first issued
- 10 years (since 2016)
- License state on NPI record
- IL
- NPI record last updated
- Jun 30, 2016
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as Center for Dermatology and Aesthetic Medicine LLC
- Clinicians in the Medicare group (all specialties, CMS)
- 2
- Dermatology clinicians in the group at this ZIP (CMS)
- 2
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Other dermatology listings at this street address
- 1
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