Provider Demographics
NPI:1508866443
Name:GETZ, PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:GETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:GEDZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1201 WATER TOWER RD
Mailing Address - Street 2:
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-3330
Mailing Address - Country:US
Mailing Address - Phone:847-830-9283
Mailing Address - Fax:847-551-1877
Practice Address - Street 1:1201 WATER TOWER RD
Practice Address - Street 2:DUNDEE DERMATOLOGY
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-3330
Practice Address - Country:US
Practice Address - Phone:847-841-8888
Practice Address - Fax:847-851-8889
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.057654207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04532056OtherBLUE CROSS BLUE SHEILD
F16196Medicare UPIN
202681Medicare ID - Type Unspecified