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Legacy Dermatology Pllc

Dermatology

LAURENCE BRADLEY
NPI: 1053024554Algonquin, Illinois, 60102(415) 802-1310

About Legacy Dermatology Pllc

Legacy Dermatology Pllc is a healthcare organization providing Dermatology services, registered under National Provider Identifier (NPI) number 1053024554. The authorized official for Legacy Dermatology Pllc is LAURENCE BRADLEY.

The organization is headquartered at 2230 HUNTINGTON DR N, Algonquin, Illinois 60102. The main office can be reached at (415) 802-1310. Legacy Dermatology Pllc has been NPI-registered since 2022.

Locations & Contact

Primary Location

Address
2230 HUNTINGTON DR N
City
Algonquin
State
Illinois
ZIP
60102-4419
Phone
(415) 802-1310
Fax
(847) 960-3675
View on Google Maps

Authorized Official

Name
LAURENCE BRADLEY

Mailing Address

Address
2230 HUNTINGTON DR N
City
ALGONQUIN
State
IL
ZIP
601024419

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dermatology
Classification
Dermatology
Taxonomy Code
207N00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Legacy Dermatology Pllc's NPI number?
Legacy Dermatology Pllc's National Provider Identifier (NPI) is 1053024554. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Legacy Dermatology Pllc specialize in?
Legacy Dermatology Pllc specializes in Dermatology.
Where is Legacy Dermatology Pllc located?
Legacy Dermatology Pllc practices at 2230 HUNTINGTON DR N, Algonquin, Illinois 60102. You can reach them by phone at (415) 802-1310.
Does Legacy Dermatology Pllc accept Medicare?
Based on available data, Legacy Dermatology Pllc is not currently enrolled in the Medicare program.
Does Legacy Dermatology Pllc offer telehealth or virtual visits?
Legacy Dermatology Pllc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Legacy Dermatology Pllc holds NPI 1053024554, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.