Sara R Dickie (NPI# 1063659001, PAC ID# 3274782495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1063659001 |
| PAC ID by PECOS | 3274782495 |
| Professional Enrollment ID | I20121003000882 |
| Full Name | Sara R Dickie |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Address |
9711 Skokie Blvd J Skokie IL 60077-1384 |
| Phone Number | 8476759711 |
| Gender | F |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 7911043054 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9711 Skokie Blvd, J, Skokie, IL 60077-1384 | 8476759711 | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhammad Aouthmany | Dermatology | Illinois Dermatology Institute LLC | 719 S Blvd, Oak Park, IL 60302-2903 |
| Margarita Vega-suarez | Nurse Practitioner | Illinois Dermatology Institute LLC | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 |
| Amanda M Schallman | Physician Assistant | Illinois Dermatology Institute LLC | 1220 Meadow Rd, Suite 210, Northbrook, IL 60062-3671 |
| Leslie E Bernstein | Dermatology | Illinois Dermatology Institute LLC | 1550 Northwest Hwy, Suite 300, Park Ridge, IL 60068-1460 |
| Louisa K Gehlmann | Dermatology | Illinois Dermatology Institute LLC | 901 N Elm St, Suite 250, Hinsdale, IL 60521-3632 |
| Marianne N Odonoghue | Dermatology | Illinois Dermatology Institute LLC | 2434 S Wolf Rd, Westchester, IL 60154-5634 |
| Charles Zugerman | Dermatology | Illinois Dermatology Institute LLC | 1 E Delaware Pl, Suite 501, Chicago, IL 60611-1666 |
| Sandra E Scholebo | Nurse Practitioner | Illinois Dermatology Institute LLC | 3190 Lancer St, Portage, IN 46368-4488 |
| Melanie E Griem | Dermatology | Illinois Dermatology Institute LLC | 1420 N Renaissance Dr, Suite 204, Park Ridge, IL 60068-1330 |
| Jennifer A Croix | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Street Address |
9711 SKOKIE BLVD J |
| City | SKOKIE |
| State | IL |
| Zip | 60077-1384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Croix | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Sangini Patel | Physician Assistant | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Michael K Odonoghue | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Tracee A Blackburn | Physician Assistant | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Andrew Mastro | Physician Assistant | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Erin K Melley | Physician Assistant | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Matthew N Harris | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| John B Kalis | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Steven J Goulder | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Bernice I Johnson | Physician Assistant | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi Lynn Bayer | Clinical Social Worker | 64 Old Orchard Ctr, Suite 435, Skokie, IL 60077 | |
| Janice L Johnson | Obstetrics/gynecology | 10024 Skokie Blvd, Suite 308, Skokie, IL 60077-1025 | |
| Susan L Mason | Clinical Social Worker | 5225 Old Orchard Rd, Suite 3, Skokie, IL 60077-1027 | |
| Stephanie A Ross | Psychologist, Clinical | Stephanie A Ross Licensed Clinical Psychologist PC | 5225 Old Orchard Rd, Suite 2, Skokie, IL 60077-1027 |
| Sally B Branch | Clinical Social Worker | 5225 Old Orchard Rd, Suite 29, Skokie, IL 60077-1027 | |
| Alisa M Cohen-stein | Clinical Social Worker | 5225 Old Orchard Rd, 27a, Skokie, IL 60077-1027 | |
| Breena M Freid | Clinical Social Worker | 5225 Old Orchard Rd, Suite 6, Skokie, IL 60077-1027 | |
| Cheryl M Berg | Clinical Social Worker | 5225 Old Orchard Rd, Suite 6, Skokie, IL 60077-1027 | |
| Judy Bakshy | Psychologist, Clinical | 5225 Old Orchard Rd, Suite 27a, Skokie, IL 60077-1027 | |
| Judith L Perlman | Clinical Social Worker | 5225 Old Orchard Rd, Suite 14, Skokie, IL 60077-1027 | |
| Find all physicians in zip 60077 | |||
| City | SKOKIE |
| Zip Code | 60077 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SKOKIE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Sara R Dickie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.