DR. AMY JANE DERICK (NPI# 1245279884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245279884 |
| Entity Type | Individual |
| Full Name | DR. AMY JANE DERICK |
| Other Name | DR. AMY JANE FARMER |
| Credential | M.D |
| Practice Address |
1531 S Grove Ave Suite 101 Barrington IL 60010-5240 |
| Practice Telephone | 8473818899 |
| Practice Fax Number | 8473818999 |
| Mailing Telephone | 8473818899 |
| Mailing Fax Number | 8473818999 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 36112935 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1531 S GROVE AVE SUITE 101 |
| City | BARRINGTON |
| State | IL |
| Zip Code | 60010-5240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124480595 | Luis San Roman | Counselor | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5240 | 2016-03-24 |
| 1083082184 | Purnell Counseling Inc. | Counselor | 1531 S Grove Ave, Suite 204, Barrington, IL 60010 | 2015-09-04 |
| 1043588296 | Thomas Purnell | Counselor | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5240 | 2011-12-02 |
| 1700188091 | Compass Counseling LLC | Counselor | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5240 | 2010-11-19 |
| 1558675322 | Kathryn Ann Gudonis | Social Worker | 1531 S Grove Ave, Unit 204, Barrington, IL 60010-5251 | 2010-08-03 |
| 1225205735 | Kristen Sheridan Wozniak | Nurse Practitioner | 1531 S Grove Ave, Suite 101, Barrington, IL 60010-5240 | 2008-05-14 |
| 1013103621 | Brenda Olsen | Counselor | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5240 | 2007-09-18 |
| 1427256189 | Kathleen Diane Bowman | Physician Assistant | 1531 S Grove Ave, 101, Barrington, IL 60010-5240 | 2007-07-04 |
| 1124239611 | Troy J Mclennan | Social Worker | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5211 | 2007-05-25 |
| 1164647871 | Nancy S. Vitacco | Social Worker | 1531 S Grove Ave, Suite 204, Barrington, IL 60010-5211 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457364382 | Candace S Lapidus | Dermatology | 5 Spinnaker Dr, Barrington, RI 02806-2831 | 2006-08-14 |
| 1386675171 | Dermuss Ltd | Dermatology | 905 Fox Glen Ct, Barrington, IL 60010-1863 | 2006-07-06 |
| 1619591385 | Hanna Marie Sutton | Dermatology | 1531 S Grove Ave Unit 101, Barrington, IL 60010-5250 | 2020-05-29 |
| 1932271210 | Dermatology Physicians & Surgeons, Ltd | Dermatology | 738 W Northwest Hwy, Barrington, IL 60010-2640 | 2006-11-14 |
| 1992877278 | David Paul Van Dam | Dermatology | 738 W Northwest Hwy, Barrington, IL 60010-2640 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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| City | BARRINGTON |
| Zip Code | 60010 |
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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.