| NPI | 1174636930 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-16 |
| Last Updated | 2007-07-08 |
| Mailing Address | 4938 S Washington Park Ct Chicago, IL 60615-2304 United States Phone: (773) 568-0810 📍 View Map |
| Primary Practice Address | 2545 S King Dr Chicago, IL 60616-2441 United States Phone: (312) 842-7117 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | IL | 036-109359 |
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About NPI 1174636930
Collette Ara Honore M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174636930. The primary specialty listed is Dermatology. The provider is located in Chicago, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174636930?
NPI 1174636930 belongs to Collette Ara Honore M.D., a Dermatology in Chicago, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174636930 active?
The current status of NPI 1174636930 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1174636930?
NPI 1174636930 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174636930?
You can verify NPI 1174636930 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174636930?
The primary practice address on file for NPI 1174636930 is 2545 S King Dr, Chicago, IL 60616-2441. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174636930 issued?
NPI 1174636930 was first issued (enumerated) on 2006-08-16. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Collette Ara Honore is located at 2545 S King Dr, Chicago, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Collette Ara Honore. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174636930. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 036-109359 | IL |