Derick Dermatology, Pllc Valid NPI

Organization · Dermatology Physician · Crystal Lake, IL

NPI

1134664402

Type

Organization (Type 2)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

36112935 (IL)

Enumerated

2016-12-22

Last updated

2022-09-09