DERICK DERMATOLOGY, LLC (NPI# 1386180198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386180198 |
| Entity Type | Organization |
| Organization Name | DERICK DERMATOLOGY, LLC |
| Practice Address |
1531 S Grove Avenue Suite 101 Barrington IL 60010 |
| Mailing Address |
Po Box 6685 Carol Stream IL 60197-6685 |
| Practice Telephone | 8473818899 |
| Practice Fax Number | 8473818999 |
| Mailing Telephone | 8473818899 |
| Mailing Fax Number | 8473818999 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | AMY DERICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8473818899 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 207N00000X | Dermatology | 36112935 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1386118057 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 263 Shuman Boulevard, Suite 125, Naperville, IL 60563 | 2019-01-16 |
| 1225526627 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 820 W Bartlett Rd, Bartlett, IL 60103-4402 | 2018-05-01 |
| 1851889257 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 8501 W Higgins Rd Ste 100, Chicago, IL 60631-2814 | 2018-05-01 |
| 1891283669 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 353 Bank Dr Ste 400, Mchenry, IL 60050-0506 | 2018-04-27 |
| 1639670904 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 750 W Lake Cook Rd Ste 270, Buffalo Grove, IL 60089-2069 | 2018-02-22 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1497792618 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 85 W Algonquin Road, Suite 220, Arlington Heights, IL 60005 | 2006-05-31 |
| 1376017038 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1025 Red Oak Lane, Suite 250, Lindenhurst, IL 60046 | 2019-01-16 |
| Street Address |
1531 S GROVE AVENUE SUITE 101 |
| City | BARRINGTON |
| State | IL |
| Zip Code | 60010 |
| 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 |
| 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 |
| 1205257227 | Rebecca Azar | Marriage & Family Therapist | 18 East Dundee Road, Building 4, Suite 100, Barrington, IL 60010 | 2013-12-17 |
| 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 |
| 1245279884 | Amy Jane Derick | Dermatology | 1531 S Grove Ave, Suite 101, Barrington, IL 60010-5240 | 2006-06-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BARRINGTON |
| Zip Code | 60010 |
Please comment or provide details below to improve the information on DERICK DERMATOLOGY, LLC.
| 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.