Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Calumet City LLC

Organization Dermatology Physician · NPI 1770966459

Integrated Dermatology of Calumet City LLC provides Dermatology Physician services in Calumet City, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 River Oaks Dr
Calumet City, IL 60409-5802
Phone: (708) 862-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1770966459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJune 30, 2015
Last updated in NPPESJanuary 15, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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