DR. JAMES LASSITER QUERTERMOUS (NPI# 1184919508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184919508 |
Entity Type | Individual |
Full Name | DR. JAMES LASSITER QUERTERMOUS |
Credential | M.D. |
Practice Address |
4885 Hoffman Blvd Ste 407 Hoffman Estates IL 60192 |
Mailing Address |
Po Box 3376 Barrington IL 60011-3376 |
Practice Telephone | 2244840183 |
Practice Fax Number | 2246999301 |
Mailing Telephone | 2244840183 |
Mailing Fax Number | 2246999301 |
Enumeration Date | 2011-06-14 |
Last Update Date | 2020-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 036137877 | IL | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036.137877 | IL | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036.137877 | IL | Allopathic & Osteopathic Physicians |
Street Address |
4885 HOFFMAN BLVD STE 407 |
City | HOFFMAN ESTATES |
State | IL |
Zip Code | 60192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790294684 | Kelly J Boyle | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726 | 2017-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205202009 | Premier Health Consultants Inc | Internal Medicine | 2815 Forbs Avenue Suite 107, Hoffman Estates, IL 60192 | 2015-08-15 |
1235536350 | Naomi Lockett | Nurse Practitioner | 2815 Forbs Ave Ste 134, Hoffman, IL 60192 | 2014-12-04 |
1548693229 | Kathryn Kmiecik | Counselor | 1595 Chesapeake Drive, Hoffman Estates, IL 60192 | 2013-08-16 |
1760692347 | Alan S Panares | Specialist/Technologist, Other | 1245 Mallard Ln, Hoffman Estates, IL 60192 | 2007-05-23 |
1518172576 | William John Becker | Dentist | 2630 New Sutton Rd, Hoffman Estates, IL 60192 | 2007-05-13 |
1144384306 | Kenneth L Kite | Dentist | 1722 W Algonquin Road, Hoffman Estates, IL 60192 | 2006-12-21 |
1760577142 | Elizabeth A. Doyle | Counselor | 3530 Winston Drive, Hoffman Estates, IL 60192 | 2006-10-03 |
1558317230 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1489 Palatine Rd, Hoffman Estates, IL 60192 | 2006-05-25 |
1659517704 | Merit Center for Sleep Health of Prairie Stone, LLC | Clinic/Center | 4885 Hoffman Blvd, Suite 450, Hoffman Estates, IL 60192 | 2008-12-19 |
1265865950 | Soojin Jun | Pharmacist | 4469 Huntington Blvd, Hoffman Estates, IL 60192-1001 | 2013-08-16 |
Find all providers in zip 60192 |
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 |
---|---|---|---|---|
1215383666 | Beaird Dermatology S C | Dermatology | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2016-05-04 |
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 |
1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
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 |
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 |
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 |
Find all providers with the same taxonomy |
City | HOFFMAN ESTATES |
Zip Code | 60192 |
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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.