Lake Shore Dermatology, Ltd
Lake Shore Dermatology, Ltd provides Dermatology Physician services in Park City, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
351 S Greenleaf Ste EPark City, IL 60085
Phone: (847) 680-7100
Fax: (847) 406-3345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 336067198 (IL) |
|---|
Record details
| NPI number | 1902977937 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kavitha Gandhi — President · (847) 680-7100 |
| NPI enumerated | November 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 351 S. Greenleaf, Suite E, Park City, IL 60085 |
Other providers in Park City
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Kavitha Gandhi, MD
351 S Greenleaf Ste E, Park City, IL 60085 · (847) 680-7100