ACADEMIC DERMATOLOGY & SKIN CANCER INSTITUTE, SC (NPI# 1902933146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902933146 |
Entity Type | Organization |
Organization Name | ACADEMIC DERMATOLOGY & SKIN CANCER INSTITUTE, SC |
Practice Address |
50 E Washington St Ste 200 Chicago IL 60602-2154 |
Mailing Address |
Po Box 809397 Chicago IL 60680-9397 |
Practice Telephone | 3122300180 |
Practice Fax Number | 3122300181 |
Mailing Telephone | 3122300180 |
Mailing Fax Number | 3122300181 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-01-15 |
Authorized Official Name | ANA BALICH (OFFICE MANAGER) |
Authorized Official Telephone | 3122300180 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
042618008 | IL | Allopathic & Osteopathic Physicians |
Street Address |
50 E WASHINGTON ST STE 200 |
City | CHICAGO |
State | IL |
Zip Code | 60602-2154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
Find all providers in zip 60602 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
1891721965 | Aleksandar L Krunic | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-06-23 |
1437678133 | M D Aesthetics and Dermatology LLC | Dermatology | 1021 W Adams St, Ll # 1, Chicago, IL 60607-2934 | 2017-09-13 |
1588041099 | Sarah Jo Wilson | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2015-05-04 |
1801967633 | Aleksandar Krunic, Md, Sc | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-11-13 |
1306801246 | Northwestern Skin Cancer Institute, Ltd | Dermatology | 737 N Michigan Ave, Suite 2310, Chicago, IL 60611-2635 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295374270 | Lilly Aesthetics Sc | Dermatology | 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 | 2019-12-23 |
1194270637 | University Dermatology and Vein Clinic LLC | Dermatology | 8110 Cass Ave, Darien, IL 60561-5013 | 2016-08-24 |
1376915629 | Forefront Dermatology, S.c. | Dermatology | 1520 Bond St, Naperville, IL 60563 | 2015-10-27 |
1710294756 | Tracy Campbell Md LLC | Dermatology | 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 | 2010-09-13 |
1932388865 | Marsh Dermatology, Sc | Dermatology | 1252 American Way, Libertyville, IL 60048-3936 | 2007-10-27 |
1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
1538153960 | Sharon Louise Horton | Dermatology | 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 | 2005-08-31 |
1487168258 | Oak Dermatology LLC | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2017-11-30 |
1629524632 | Forefront Dermatology, S.c. | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402 | 2016-08-30 |
1215383666 | Beaird Dermatology S C | Dermatology | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2016-05-04 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ACADEMIC DERMATOLOGY & SKIN CANCER INSTITUTE, SC.
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.