ACADEMIC DERMATOLOGY & SKIN CANCER INSTITUTE, SC


Address: 50 E Washington St Ste 200, Chicago, IL 60602-2154
Phone: 3122300180

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
042618008 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 50 E WASHINGTON ST STE 200
City CHICAGO
State IL
Zip Code 60602-2154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538200308 Omeed Memar Dermatology 50 E Washington St Ste 200, Chicago, IL 60602-2154 2007-02-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CHICAGO
Zip Code 60602

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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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