Individual provider · Type 1 NPI

Jack Dyer Crouch Iii

Dermatology Physician · Chicago, IL

NPI number 1215772033 Active

Practice location

4646 N Marine Dr
Chicago, IL 60640-5759

Call (773) 564-5225 Map

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X125.084866 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1215772033

Jack Dyer Crouch Iii's National Provider Identifier is 1215772033, issued on Jun 25, 2024. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2024.