Integrated Dermatology of Calumet City LLC
NPI 1770966459 · Dermatology Physician · Calumet City, IL
Integrated Dermatology of Calumet City LLC is a Dermatology Physician organization in Calumet City, IL (NPI 1770966459).
Provider details
- NPI number
- 1770966459
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Queen, Manager(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2019-01-15
Frequently asked questions
- What is Integrated Dermatology of Calumet City LLC's NPI number?
- Integrated Dermatology of Calumet City LLC's National Provider Identifier (NPI) is 1770966459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Calumet City LLC?
- Integrated Dermatology of Calumet City LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Calumet City LLC located?
- Integrated Dermatology of Calumet City LLC's practice location on file with NPPES is 19 River Oaks Dr, Calumet City, IL 60409-5802.
- What is Integrated Dermatology of Calumet City LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Calumet City LLC is (708) 862-1290.
- Who is the authorized official for Integrated Dermatology of Calumet City LLC?
- The authorized official listed on Integrated Dermatology of Calumet City LLC's NPPES record is Jeffrey Queen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Calumet City LLC's NPI active?
- Yes — Integrated Dermatology of Calumet City LLC's NPI (1770966459) is active in the NPPES registry as of the last update on 2019-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.