Jeffrey S. Bakal
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist
1786 Moon Lake Blvd Suite #100
Hoffman Estates
, Illinois 60169-5029
Jeffrey S. Bakal
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist
1786 Moon Lake Blvd Suite #100
Hoffman Estates
, Illinois 60169-5029
(847) 882-9348
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Jeffrey S. Bakal
- 1786 Moon Lake Blvd Suite #100
- Hoffman Estates, IL
- Zip : 60169-5029
- Fax : (847) 882-9348
- Phone : (847) 882-9300
Second Address
- Jeffrey S. Bakal
- 1786 Moon Lake Blvd Suite #100
- Hoffman Estates, IL
- Zip : 60169-5029
- Fax : (847) 882-9348
- Phone : (847) 882-9300
Reviews
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Is Jeffrey S. Bakal a sole practitioner?
Is Jeffrey S. Bakal accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 036086309 | IL |
| N | 207ND0900X | Dermatopathologist | 036086309 | IL |
| N | 207NP0225X | Pediatric Dermatologist | 036086309 | IL |
| N | 207NS0135X | Procedural Dermatology | 036086309 | IL |
National Provider Identifier
| NPI | 1487653549 |
|---|---|
| Provider Name | Jeffrey S. Bakal |
| First Address | Hoffman Estates, IL 60169-5029 |
| Second Address | Hoffman Estates, IL 60169-5029 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 29/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360863092 | (05) | IL |
| 1621016 | BCBS (01) | |
| F58471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.