Basic Information
| Provider Information | |||||||||
| NPI: | 1669455549 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAREY B DACHMAN MDSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 455 S ROSELLE RD | ||||||||
| Address2: | STE 104 | ||||||||
| City: | SCHAUMBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601932971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473525511 | ||||||||
| FaxNumber: | 8473520814 | ||||||||
| Practice Location | |||||||||
| Address1: | 455 S ROSELLE RD | ||||||||
| Address2: | #104 | ||||||||
| City: | SCHAUMBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601932971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473525511 | ||||||||
| FaxNumber: | 8473520814 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/23/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DACHMAN | ||||||||
| AuthorizedOfficialFirstName: | CAREY | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8473525511 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | IL | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 2084N0400X | IL | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.