Organization · Type 2 NPI
Pure Skinology LLC
Medical Specialty Clinic/Center · Chicago, IL
NPI number
1649807074
Active
Practice location
2202 N. Halsted St, Suite 1
Chicago, IL 60614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | None listed |
| MOHS-Micrographic Surgery Physician | 207ND0101X | None listed |
| Dermatopathology Physician | 207ND0900X | None listed |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | None listed |
| Pediatric Dermatology Physician | 207NP0225X | None listed |
| Procedural Dermatology Physician | 207NS0135X | None listed |
| Ambulatory Surgical Clinic/Center | 261QA1903X | None listed |
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1649807074
Pure Skinology LLC's National Provider Identifier is 1649807074, issued on Mar 25, 2020. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 15, 2020.