NORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC (NPI# 1609827237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609827237 |
| Entity Type | Organization |
| Organization Name | NORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC |
| Practice Address |
1o3 S Greenleaf St Suite J Gurnee IL 60031-3370 |
| Practice Telephone | 8476628201 |
| Practice Fax Number | 8476628215 |
| Mailing Telephone | 8476628201 |
| Mailing Fax Number | 8476628215 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | DR. SAMUEL SOLOMON (PRESIDENT) |
| Authorized Official Telephone | 8476628201 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | AETNA - SAMUEL SOLOMON | 4044905 | 01 |
| IL | CIGNA - SAMUEL SOLOMON | 6945148002 | 01 |
| IL | SOLOMON NPI | 1558316281 | 01 |
| IL | MEDICARE GRP | 453550 | 01 |
| IL | BCBS PROVIDER NUMBER | O4920144 | 01 |
| IL | AETNA- BENJAMIN DUBIN,MD | 4392571 | 01 |
| IL | CIGNA- BENJAMIN DUBIN, MD | 7248829002 | 01 |
| IL | MDR INVIDUAL SOLOMON | K39549 | 01 |
| IL | MDR INDIVIDUAL DUBIN | K39550 | 01 |
| IL | DUBIN NPI | 1356495030 | 01 |
| Street Address |
1O3 S GREENLEAF ST SUITE J |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1477845907 | Melissa Jo Zizzo | Specialist | 17532 W Stillwater Ct, Gurnee, IL 60031-4507 | 2011-05-02 |
| 1508037201 | Ralph G Frank | Specialist | 1425 N Hunt Club Rd Ste 101, Gurnee, IL 60031-2646 | 2008-03-20 |
| 1235348582 | Children's Health Center, S.c. | Specialist | 15 Tower Ct Ste 100, Gurnee, IL 60031-3336 | 2007-05-22 |
| 1467677948 | Gurnee Physical Medicine Ltd | Specialist | 5415 Grand Ave, Gurnee, IL 60031-4906 | 2007-04-17 |
| 1760504864 | Tien C. Cheng, Md,sc | Specialist | 5101 Washington St Ste 24, Gurnee, IL 60031-2988 | 2007-04-06 |
| 1649301334 | Diabetes Osteoporosis Thyroid Endocrine Center LLC | Specialist | 1425 N Hunt Club Rd Ste 303, Gurnee, IL 60031-2639 | 2007-03-07 |
| 1881742914 | Kathleen Cummings | Specialist | 6206 Eagle Ridge Dr, Gurnee, IL 60031-4713 | 2007-01-08 |
| 1578502159 | Nilesh D Mehta | Specialist | 202 S. Greenleaf Ave Suite E, Cancer Treatment Centers of America, Gurnee, IL 60031 | 2006-06-06 |
| 1083662894 | Isaac Thomas | Specialist | 3915 Oglesby Ave, Gurnee, IL 60031-3358 | 2006-05-04 |
| Find all providers in GURNEE | ||||
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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.