ADVANCED CLINICAL & SURGICAL DERMATOLOGY (NPI# 1861571051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861571051 |
| Entity Type | Organization |
| Organization Name | ADVANCED CLINICAL & SURGICAL DERMATOLOGY |
| Practice Address |
1012 95th St Suite 1 Naperville IL 60564-5041 |
| Mailing Address |
Po Box 9504 Naperville IL 60567-0504 |
| Practice Telephone | 6302364315 |
| Practice Fax Number | 6302364316 |
| Mailing Telephone | 6302364315 |
| Mailing Fax Number | 6302364316 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY M JANIGA (PRESIDENT) |
| Authorized Official Telephone | 6302364315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1012 95TH ST SUITE 1 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504363 | Primary Care of South Naperville Area Sc | Family Medicine | 1012 95th St, 5, Naperville, IL 60564-5041 | 2005-08-09 |
| 1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
| 1124455126 | Adventist Health Partners, Inc | Internal Medicine | 1012 95th St, Suite 3, Naperville, IL 60564-5041 | 2013-10-04 |
| 1386912046 | Adventist Health Partners, Inc | Obstetrics & Gynecology | 1012 95th St, Suite 3, Naperville, IL 60564-5041 | 2011-12-09 |
| 1659664936 | Adventist Health Partners, Inc | Family Medicine | 1012 95th St, Suite 8, Naperville, IL 60564-5041 | 2011-05-19 |
| 1043510597 | Kimberly Ellen Starr | Nurse Practitioner | 1012 95th St, 3, Naperville, IL 60564-5041 | 2010-11-01 |
| 1205082427 | Plainfield Healthcare Associates, LLC | Family Medicine | 1012 95th St, Suite #8, Naperville, IL 60564-5041 | 2008-08-08 |
| 1497965487 | Terri M Hannon | Nurse Practitioner | 1012 95th St, Naperville, IL 60564-5041 | 2007-05-22 |
| 1407062557 | Lori A Dzielawa | Occupational Therapist | 1012 95th St, Naperville, IL 60564-5041 | 2007-05-15 |
| 1225241979 | Buthaina M Jabir | Obstetrics & Gynecology | 1012 95th St, Suite 7, Naperville, IL 60564-5041 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| 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 |
|---|---|---|---|---|
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1245716042 | Basko Dermatology LLC | Dermatology | 1331 W 75th St Ste 402, Naperville, IL 60540-9336 | 2018-07-14 |
| 1235364092 | Shruthi Geedipalley Reddy | Dermatology | 640 S Washington St Ste 350, Naperville, IL 60540-6785 | 2009-05-22 |
| 1598987307 | Kelly J. Stankiewicz | Dermatology | 2155 City Gate Ln Ste 225, Naperville, IL 60563-7770 | 2007-05-02 |
| 1588743439 | Moira C Ariano, Md PC | Dermatology | 2323 Naperville Rd, Suite 120, Naperville, IL 60563-3444 | 2006-11-03 |
| 1083609028 | Kathleen Ann Remlinger | Dermatology | 636 Raymond Dr Ste 200, Naperville, IL 60563-9791 | 2005-09-15 |
| 1710328851 | Mariam Mafee | Dermatology | 2155 City Gate Ln Ste 225, Naperville, IL 60563 | 2013-07-16 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1295086742 | Juliana Llazar Basko-plluska | Dermatology | 1331 W 75th St, Suite 402, Naperville, IL 60540-9336 | 2012-09-24 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.