DERICK DERMATOLOGY, LLC


Address: 820 W Bartlett Rd, Bartlett, IL 60103-4402
Phone: 8473818899

DERICK DERMATOLOGY, LLC (NPI# 1225526627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225526627
Entity Type Organization
Organization Name DERICK DERMATOLOGY, LLC
Practice Address 820 W Bartlett Rd
Bartlett
IL 60103-4402
Mailing Address Po Box 6685
Carol Stream
IL 60197-6685
Practice Telephone 8473818899
Practice Fax Number 8473818999
Mailing Telephone 8473818899
Mailing Fax Number 8473818999
Enumeration Date 2018-05-01
Last Update Date 2019-04-12
Authorized Official Name AMY DERICK (MEDICAL DIRECTOR)
Authorized Official Telephone 8473818899
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332900000X Non-Pharmacy Dispensing Site Suppliers
Y 207N00000X Dermatology 36112935 IL Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275141251 Derick Dermatology, LLC Dermatology 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 2020-07-16
1447873831 Derick Dermatology, LLC Dermatology 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 2020-05-20
1386118057 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 263 Shuman Boulevard, Suite 125, Naperville, IL 60563 2019-01-16
1851889257 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 8501 W Higgins Rd Ste 100, Chicago, IL 60631-2814 2018-05-01
1891283669 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 353 Bank Dr Ste 400, Mchenry, IL 60050-0506 2018-04-27
1639670904 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 750 W Lake Cook Rd Ste 270, Buffalo Grove, IL 60089-2069 2018-02-22
1386180198 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 2017-01-18
1134664402 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 2016-12-22
1497792618 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 85 W Algonquin Road, Suite 220, Arlington Heights, IL 60005 2006-05-31
1376017038 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 1025 Red Oak Lane, Suite 250, Lindenhurst, IL 60046 2019-01-16

Office Location

Street Address 820 W BARTLETT RD
City BARTLETT
State IL
Zip Code 60103-4402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467916593 Nicole Taylor Gerdevich Specialist/Technologist 1302 Branden Lane, Bartlett, IL 60103 2019-01-23
1154817823 Ada Oguejiofor Registered Nurse 269 Norway Drive, Bartlett, IL 60103 2018-07-06
1295153765 Paul Alegro Physical Therapy Assistant 810 Seacrest Lane, Bartlett, IL 60103 2014-04-02
1184051211 John Katsis Dentist 110 S. Oak Avenue, Bartlett, IL 60103 2013-10-03
1356786743 Rajiv Puri PC Dentist 849 S Route 59, Bartlett, IL 60103 2013-04-30
1356786784 Gilbert Noble Bael Physical Therapist 829 Carillon Drive, Bartlett, IL 60103 2013-04-29
1912282641 Elaine S Tate Pharmacist 891 S. Route 59, Bartlett, IL 60103 2011-10-13
1104108968 Sonal Vyas Pharmacist 891 S. Route 59, Bartlett, IL 60103 2011-09-16
1144502261 Les Edward Wingert Pharmacist 891 South Route 59, Bartlett, IL 60103 2011-09-14
1629389564 Hope Hebert Counselor 364 Sundance Drive, Bartlett, IL 60103 2010-06-25
Find all providers in zip 60103

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528083706 James E Turner Dermatology 6644 Summer Knoll Cir, Bartlett, TN 38134-2875 2006-07-12
1720011679 James E Turner Md Phd PC Dermatology 6644 Summer Knoll Cir, Bartlett, TN 38134-2875 2006-07-07
1659303444 Malika Tuli Dermatology 6644 Summer Knoll Cir, Bartlett, TN 38134-2875 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275141251 Derick Dermatology, LLC Dermatology 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 2020-07-16
1063030252 Vitalskin Medical Group Il Pllc Dermatology 1111 W Kenyon Rd, Urbana, IL 61801-1010 2020-07-14
1447873831 Derick Dermatology, LLC Dermatology 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 2020-05-20
1346869393 Julia Katsnelson Md Sc Dermatology 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 2020-04-10
1114551983 Katherine Janezic Dermatology 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 2020-03-02
1013559400 Orsini Surgical Dermatology Sc Dermatology 1519 Legacy Cir, Naperville, IL 60563-3161 2019-10-17
1124675244 Kiracofe Md Medical, LLC Dermatology 719 South Blvd # 2903, Oak Park, IL 60302-2903 2019-08-22
1366009664 Derick Dermatology Dermatology 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 2019-05-22
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1891257853 Maria Estela Martinez Escala Dermatology 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 2019-04-01
Find all providers with the same taxonomy

Competitor

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City BARTLETT
Zip Code 60103

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Dataset Information

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.

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