LOOP DERMATOLOGY & ACNE CARE CENTER LLC (NPI# 1104093483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104093483 |
| Entity Type | Organization |
| Organization Name | LOOP DERMATOLOGY & ACNE CARE CENTER LLC |
| Practice Address |
111 N Wabash Ave Suite 2001 Chicago IL 60602-1903 |
| Practice Telephone | 3125191465 |
| Mailing Telephone | 3125191465 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | DR. MICHELE BURGESS (OWNER) |
| Authorized Official Telephone | 3125191465 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 03610878 | IL | Ambulatory Health Care Facilities |
| Street Address |
111 N WABASH AVE SUITE 2001 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568622 | Paul Dale Linden | Psychologist | 111 N Wabash Ave, Ste 1408, Chicago, IL 60602-3075 | 2005-06-16 |
| 1598320749 | Lauren Michelle Jackson | Counselor | 111 N Wabash Ave, Chicago, IL 60602-1903 | 2019-05-02 |
| 1457897332 | Maria Therese Galang Dmd Ms P C | Durable Medical Equipment & Medical Supplies | 111 N Wabash Ave, Ste 1522, Chicago, IL 60602 | 2017-01-16 |
| 1710422969 | Mg Dentistry | Durable Medical Equipment & Medical Supplies | 111 N Wabash Ave, Suite 1820, Chicago, IL 60602-1903 | 2016-12-27 |
| 1851846414 | Elizabeth Tyrpak | Counselor | 111 N Wabash Ave, Suite 822, Chicago, IL 60602-1903 | 2016-08-23 |
| 1700294113 | Connect Hearing, Inc. | Audiologist | 111 N Wabash Ave, Ste. 1618, Chicago, IL 60602-1903 | 2014-07-29 |
| 1548677099 | Emily Streit | Physical Therapist | 111 N Wabash Ave, Suite 1603, Chicago, IL 60602-1903 | 2014-07-16 |
| 1134547573 | Michael W Glavin | Marriage & Family Therapist | 111 N Wabash Ave, Suite 822, Chicago, IL 60602-1903 | 2014-04-02 |
| 1154746469 | Tanya Freseth | Chiropractor | 111 N Wabash Ave, Suite 600, Chicago, IL 60602-1903 | 2014-02-24 |
| 1639590540 | Cohen-lewe Chicago Center for Osteopathic Medicine | Clinic/Center | 111 N Wabash Ave, Ste. 1818, Chicago, IL 60602-1903 | 2013-12-18 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| Find all providers in CHICAGO | ||||
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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.