DAVID S. PEZEN, M.D., S.C. (NPI# 1295992295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992295 |
| Entity Type | Organization |
| Organization Name | DAVID S. PEZEN, M.D., S.C. |
| Practice Address |
360 W Butterfield Rd Suite #240 Elmhurst IL 60126-5068 |
| Practice Telephone | 6308333222 |
| Practice Fax Number | 6308333277 |
| Mailing Telephone | 6308333222 |
| Mailing Fax Number | 6308333277 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | DR. DAVID SCOTT PEZEN (PRESIDENT) |
| Authorized Official Telephone | 6308333222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 042616683 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
360 W BUTTERFIELD RD SUITE #240 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475794 | Raymond V Janevicius | Plastic Surgery | 360 W Butterfield Rd, Ste 230, Elmhurst, IL 60126-5000 | 2005-05-23 |
| 1700282803 | Susan R Jahn | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-11-17 |
| 1114333861 | Achieve Recovery and Rehab, Inc. | Clinic/Center | 360 W Butterfield Rd, Elmhurst, IL 60126-5068 | 2014-07-02 |
| 1821401316 | Orthopedic Specialists, S.c. | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-06-03 |
| 1730519141 | Adventist Health Partners, Inc | Family Medicine | 360 W Butterfield Rd, Ste 140, Elmhurst, IL 60126-5068 | 2013-11-21 |
| 1417385790 | Illinois Back & Neck Institute LLC | Clinic/Center | 360 W Butterfield Rd, Suite 100, Elmhurst, IL 60126-5068 | 2013-10-23 |
| 1245664598 | Steven Welch | Social Worker | 360 W Butterfield Rd, Suite 340, Elmhurst, IL 60126-5068 | 2013-08-22 |
| 1821353673 | Samantha B. Conrad M.d.s.c | Dermatology | 360 W Butterfield Rd, Suite 240, Elmhurst, IL 60126-5068 | 2012-07-09 |
| 1396002309 | American Diagnostic Mri LLC | Clinic/Center | 360 W Butterfield Rd, Suite 130, Elmhurst, IL 60126-5068 | 2012-04-13 |
| 1326313511 | Thomas L Nelson Dds Mba Ltd | Dentist | 360 W Butterfield Rd, Suite 180, Elmhurst, IL 60126-5068 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1235167313 | Huachen Wei | Dermatology | 8701 56th Ave, 1 Fl, Elmhurst, NY 11373-4831 | 2006-06-29 |
| 1538119938 | Lori S Shelnitz | Dermatology | 172 Schiller St, Elmhurst, IL 60125-2885 | 2006-05-10 |
| 1629063169 | Todd T Davis | Dermatology | 103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 | 2005-09-12 |
| 1598283434 | Adalme Pena | Dermatology | 4037 74th St, Elmhurst, NY 11373-5603 | 2017-08-30 |
| 1023569183 | Kelly Abate Md LLC | Dermatology | 1200 S York St, Suite 3240, Elmhurst, IL 60126-5626 | 2016-10-24 |
| 1821353673 | Samantha B. Conrad M.d.s.c | Dermatology | 360 W Butterfield Rd, Suite 240, Elmhurst, IL 60126-5068 | 2012-07-09 |
| 1881977304 | Marina Matatova | Dermatology | 4037 74th St, Elmhurst, NY 11373-5603 | 2011-09-21 |
| 1598057234 | Julia Wu | Dermatology | 7901 Broadway, Elmhurst, NY 11373-1329 | 2011-05-13 |
| 1700197811 | Nikki N Kim | Dermatology | 103 N Haven Rd, Ste 7, Elmhurst, IL 60126-2923 | 2010-06-24 |
| 1144483843 | Marie Claire Leger | Dermatology | 4012 80th St, Elmhurst, NY 11373 | 2008-07-03 |
| Find all providers in ELMHURST | ||||
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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.