Provider Demographics
NPI:1154131233
Name:MCS DERMATOLOGY PLLC
Entity type:Organization
Organization Name:MCS DERMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD/PHD
Authorized Official - Phone:224-800-1668
Mailing Address - Street 1:1520 ARTAIUS PKWY UNIT 64
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-7906
Mailing Address - Country:US
Mailing Address - Phone:224-800-1668
Mailing Address - Fax:
Practice Address - Street 1:800 BIESTERFIELD RD STE 565
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3362
Practice Address - Country:US
Practice Address - Phone:224-800-1668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology