DERICK DERMATOLOGY, LLC (NPI# 1447873831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447873831 |
| Entity Type | Organization |
| Organization Name | DERICK DERMATOLOGY, LLC |
| Practice Address |
5250 Old Orchard Rd Ste 110 Skokie IL 60077-4461 |
| Mailing Address |
Po Box 6685 Carol Stream IL 60197-6685 |
| Practice Telephone | 8473818899 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | AMY JANE DERICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8473818899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 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 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 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 |
5250 OLD ORCHARD RD STE 110 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| 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 |
|---|---|---|---|---|
| 1699193334 | Benjamin C Garden | Dermatology | 4605 Golf Rd, Skokie, IL 60076 | 2014-03-31 |
| 1285895003 | Nisha Desai | Dermatology | 9933 Woods Dr Ste 200, Skokie, IL 60077-1049 | 2008-06-24 |
| 1154448355 | Rush Pres St. Luke's Med Center | Dermatology | 4711 Golf Rd Ste 711, Skokie, IL 60076-1245 | 2007-03-23 |
| 1770634131 | Stephanie Mehlis | Dermatology | 9933 Woods Dr, 2nd Floor - Dermatology, Skokie, IL 60077-1057 | 2007-01-14 |
| 1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
| 1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
| 1104243070 | Jaime Beth Alexander | Dermatology | 9933 Woods Dr Ste 200, Skokie, IL 60077-1049 | 2014-03-27 |
| 1891021457 | Family Doctors/family Healthcare | Dermatology | 7100 Carpenter Rd, Skokie, IL 60077-3279 | 2009-11-02 |
| 1245566777 | University Dermatology | Dermatology | 4605 Golf Rd, Skokie, IL 60076-1209 | 2009-10-18 |
| 1083947238 | Reshma Nair Haugen | Dermatology | 9977 Woods Dr, 2nd Floor, Skokie, IL 60077-1057 | 2009-09-04 |
| Find all providers in SKOKIE | ||||
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.