Provider Demographics
NPI:1942453022
Name:ALBRECHT, JOERG (MD)
Entity Type:Individual
Prefix:
First Name:JOERG
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 WEST POLK STREET
Mailing Address - Street 2:SECTION OF DERMATOLOGY, ADMIN. BUILDING, 5TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60312
Mailing Address - Country:US
Mailing Address - Phone:312-839-2429
Mailing Address - Fax:312-864-9663
Practice Address - Street 1:1900 WEST POLK STREET
Practice Address - Street 2:SECTION OF DERMATOLOGY, ADMIN. BUILDING, 5TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60312
Practice Address - Country:US
Practice Address - Phone:312-839-2429
Practice Address - Fax:312-864-9663
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036121698207N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology