Organization · Type 2 NPI

Rush University Medical Center

Dermatology Physician · Westmont, IL

NPI number 1396755096 Active

Practice location

6319 Fairview Ave, Suite 102
Westmont, IL 60559-2888

Call (630) 968-4500 Map

Fax (630) 968-4420

Mailing address

1725 W Harrison St Ste 264
Chicago, IL 60612-3844

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed

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…

6 other providers at this address

NPI record

NPI: 1396755096
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: Sep 9, 2013
Status: Active
Subpart: Yes of Rush University Medical Center

Other names

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Dermatology Patient Services · doing business as

Authorized official

Michael D. Tharp, MD
Director
(312) 942-5000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396755096

Rush University Medical Center's National Provider Identifier is 1396755096, issued on Aug 8, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Westmont, IL. The record was last updated on Sep 9, 2013.