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NPI · 1407068000 · NPPES-sourced

Chicago Cosmetic Surgery And Dermatology Sc

ActiveDermatology
NPI Number
1407068000
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(312) 245-9965
License IL · 036-102098
Last Updated
Enumerated
Primary practice addressIL · 60654-9104
515 N State St Ste 900Chicago, IL 60654-9104
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About this NPIWhat this record shows.

NPI 1407068000 is registered to Chicago Cosmetic Surgery And Dermatology Sc, a healthcare organisation classified as "Dermatology" and located at 515 N State St Ste 900 in Chicago, Illinois. The organisation's authorised official is Carolyn Jacob. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1634805IL· Issued by BLUE CROSS BLUE SHIELD

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Chicago Cosmetic Surgery And Dermatology Sc accepts. To confirm in-network status with your specific health plan, contact Chicago Cosmetic Surgery And Dermatology Sc directly at (312) 245-9965.

Frequently asked

Yes. NPI 1407068000 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (312) 245-9965.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Chicago Cosmetic Surgery And Dermatology Sc is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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