Provider Demographics
NPI:1346784543
Name:DERMIO, LLC
Entity Type:Organization
Organization Name:DERMIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOLEYMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-206-3653
Mailing Address - Street 1:3023 N CLARK ST
Mailing Address - Street 2:SUITE 861
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5200
Mailing Address - Country:US
Mailing Address - Phone:312-206-3653
Mailing Address - Fax:844-965-9457
Practice Address - Street 1:3023 N CLARK ST
Practice Address - Street 2:SUITE 861
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5200
Practice Address - Country:US
Practice Address - Phone:312-206-3653
Practice Address - Fax:844-965-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty