Healthcare Provider Details

I. General information

NPI: 1669455549
Provider Name (Legal Business Name): CAREY B DACHMAN MDSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 S ROSELLE RD #104
SCHAUMBURG IL
60193-2971
US

IV. Provider business mailing address

455 S ROSELLE RD STE 104
SCHAUMBURG IL
60193-2971
US

V. Phone/Fax

Practice location:
  • Phone: 847-352-5511
  • Fax: 847-352-0814
Mailing address:
  • Phone: 847-352-5511
  • Fax: 847-352-0814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: CAREY B DACHMAN
Title or Position: MEDICAL ADMINISTRATOR
Credential: M.D.
Phone: 847-352-5511