INTEGRATED DERMATOLOGY OF CALUMET CITY LLC
NPI 1770966459
Dermatology in Calumet City, IL

Active since June 30, 2015
19 RIVER OAKS DR, CALUMET CITY, IL 60409(708) 862-1290 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Dermatology Of Calumet City Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED DERMATOLOGY OF CALUMET CITY LLC (NPI 1770966459) is a healthcare organization registered as a dermatology in Calumet City, Illinois and active in the NPI registry since June 2015. The organization lists Jeffrey Queen, Manager, as its authorized official.

NPPES Registry Identity

NPI1770966459
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF CALUMET CITY LLC
Location Address19 RIVER OAKS DRCalumet City, IL 60409-5802
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Organization SubpartNo
Authorized OfficialJeffrey QueenManager · (561) 314-2000
Enumeration DateJune 30, 2015
Last NPPES UpdateJanuary 15, 2019
NPI 1770966459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
19 RIVER OAKS DR, Calumet City, IL 60409

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
19 RIVER OAKS DR
CALUMET CITY, IL 60409
Dermatology
19 RIVER OAKS DR
CALUMET CITY, IL 60409
Nurse Practitioner
19 RIVER OAKS DR
CALUMET CITY, IL 60409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Dermatology Of Calumet City LLC's NPI number?

The NPI number for Integrated Dermatology Of Calumet City LLC is 1770966459. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Integrated Dermatology Of Calumet City LLC located?

Integrated Dermatology Of Calumet City LLC is located at 19 River Oaks Dr, Calumet City, IL 60409. The listed phone number is (708) 862-1290.

What is Integrated Dermatology Of Calumet City LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Calumet City LLC was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.