DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. (NPI# 1700987328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700987328 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. |
| Practice Address |
1124 Essington Rd Joliet IL 60435-8423 |
| Practice Telephone | 8157448554 |
| Practice Fax Number | 8157443969 |
| Mailing Telephone | 8157448554 |
| Mailing Fax Number | 8157443969 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | DR. JOSE RIOS (V.P.) |
| Authorized Official Telephone | 8157448554 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 036109103 | IL | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085002224 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036108932 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS GROUP NUMBER | 09932211 | 01 |
| Street Address |
1124 ESSINGTON RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252426 | Laurel Melissa Poole | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-04-06 |
| 1861930984 | Pinnacle Dermatology, Sc | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2017-02-09 |
| 1598039711 | Monika D Kaniszewska | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2012-03-06 |
| 1194010157 | Blake M Troiani | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-06-17 |
| 1114216363 | Bernardino Michael Mendez | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-03-28 |
| 1295946473 | Kimberly Ann Bauer | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2007-05-27 |
| 1821166505 | Teryn Elizabeth Honeycutt | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8446 | 2006-12-01 |
| 1699888644 | Jose Luis Rios | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| 1437262482 | Paula Kaye Lapinski | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
| 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 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.