Dermatology
LEGACY DERMATOLOGY PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053024554 · enumerated 2022-12-29 · record updated 2023-05-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LAURENCE BRADLEY MD, MD/Owner · (415) 802-1310
Addresses and phones
- Practice location 2230 HUNTINGTON DR N, ALGONQUIN, IL, 60102-4419 (415) 802-1310 Fax (847) 960-3675 Google Maps Apple Maps OpenStreetMap
- Mailing address 2230 HUNTINGTON DR N, ALGONQUIN, IL, 60102-4419 (847) 603-4146 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Dermatology, Procedural Dermatology 207NS0135X
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
ALGONQUIN, IL, 601024419
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.