DR. CHARLES ZUGERMAN (NPI# 1134227259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134227259 |
Entity Type | Individual |
Full Name | DR. CHARLES ZUGERMAN |
Credential | M.D. |
Practice Address |
1 E Delaware Pl Ste 501 Chicago IL 60611-1666 |
Mailing Address |
201 E Huron St Ste 11-250 Chicago IL 60611-2968 |
Practice Telephone | 3126261759 |
Mailing Telephone | 3123374020 |
Mailing Fax Number | 3125879001 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-01-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
3650426 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 03650426 | 05 | |
IL | BLUE CROSS NUMBER | 031600045 | 01 |
Street Address |
1 E DELAWARE PL STE 501 |
City | CHICAGO |
State | IL |
Zip Code | 60611-1666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891801080 | Adam J Geisheker | Chiropractor | 1 E Delaware Pl, Suite 401b, Chicago, IL 60611-5135 | 2006-08-21 |
1811374093 | Nyarai Sarah Paweni | Naturopath | 1 E Delaware Pl, Suite 300, Chicago, IL 60611-1449 | 2015-04-27 |
1164815890 | Ryan Sacotte | Student in an Organized Health Care Education/Training Program | 1 E Delaware Pl, Apt 34j, Chicago, IL 60611-1449 | 2015-03-04 |
1215362777 | Rina Rotunno | Developmental Therapist | 1 E Delaware Pl, Apt 35j, Chicago, IL 60611-1449 | 2013-09-03 |
1306101084 | Insightful Family Therapy | Marriage & Family Therapist | 1 E Delaware Pl, Suite 310, Chicago, IL 60611-1449 | 2012-07-10 |
1063795763 | Sedona Center for Well Being P.C. | Social Worker | 1 E Delaware Pl, 310, Chicago, IL 60611-1449 | 2011-09-20 |
1225336555 | Focht Family Practice | Marriage & Family Therapist | 1 E Delaware Pl, Suite 310, Chicago, IL 60611-1449 | 2011-03-10 |
1174842132 | Purvi Neel Shah | Physical Therapist | 1 E Delaware Pl, Ste. 401b, Chicago, IL 60611-1449 | 2010-05-28 |
1588987978 | Jaime F Bronstein | Social Worker | 1 E Delaware Pl, Ste. #310, Chicago, IL 60611-1449 | 2010-03-12 |
1073772075 | Vadim Sprikut | Social Worker | 1 E Delaware Pl, Suite 310, Chicago, IL 60611-1449 | 2008-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
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Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538313705 | Valeria Fugali | Dermatology | 1807 N Mohawk St, Unit B, Chicago, IL 60614-5213 | 2008-11-13 |
1922212539 | Neda Ashourian | Dermatology | 676 N. St. Clair Street, Suite 1600, Chicago, IL 60611-2997 | 2007-05-10 |
1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
1871869438 | Omer Ibrahim | Dermatology | 515 N State St Ste 900, Chicago, IL 60654 | 2012-03-28 |
1790923241 | Lauren Ann Fine | Dermatology | 500 W Superior St, #1803, Chicago, IL 60654-8132 | 2009-01-21 |
1164529087 | Sirirat R Banuchi | Dermatology | 4849 N Milwaukee Ave, Chicago, IL 60630-5100 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972669109 | Raymond W Vahl | Dermatology | 11527 S Harlem Ave, Worth, IL 60482-2367 | 2006-12-30 |
1013983618 | David H Whitney | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402-3073 | 2006-02-24 |
1205825056 | Amy L Brodsky | Dermatology | 2601 Compass Rd Ste 125, Glenview, IL 60026-8089 | 2005-10-14 |
1427589027 | Forefront Dermatology, S.c. | Dermatology | 1170 E Belvidere Rd, Suite 206, Grayslake, IL 60030 | 2017-03-24 |
1750837761 | Forefront Dermatology, S.c. | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440 | 2016-08-30 |
1871046995 | Forefront Dermatology, S.c. | Dermatology | 615 Valley View Dr, Suite 203, Moline, IL 61265 | 2016-07-25 |
1528430881 | Forefront Dermatology, S.c. | Dermatology | 507 W Kendall Dr, Suite 2, Yorkville, IL 60560 | 2015-10-27 |
1154793412 | Forefront Dermatology, S.c. | Dermatology | 1890 Silver Cross Blvd, Suite 505, New Lenox, IL 60451 | 2015-10-27 |
1548632805 | Forefront Dermatology, S.c. | Dermatology | 1600 W Us Route 6, Morris, IL 60450 | 2015-10-27 |
1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.