DRS Robin & Fretzin SC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

036038658 Issued in IL

Legal business name

DRS ROBIN & FRETZIN SC

Practice address

41 S Prospect Ave
Park Ridge, IL 60068-4138

Phone

(847) 823-4113

Fax

(847) 823-0059

NPI assigned

May 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jill Sutherland

Title

Supervisor

Phone

(847) 459-6495

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1003026048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684138",
            "telephone_number": "847-823-4113",
            "fax_number": "847-823-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684138",
            "telephone_number": "847-823-4113",
            "fax_number": "847-823-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ROBIN & FRETZIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "847-459-6495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036038658",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036022673",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036038658",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036038658",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036022673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRETZIN NPI#",
            "identifier": "1891784401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF BCBS PROV#",
            "identifier": "0001615219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF STATE LIC#",
            "identifier": "036038658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Yasmin Farid Kocmond P.C
• Lindsay June Drake, NP
• Sol Drapkin, MD
• Sophie Carolyn Drescher, PA-C
• Stephanie Lynn Drnek, O.D.
• DRS, Lapporte, Wright & Assoc., P.C.
• Marta Druzbacka
• Emily Dudek, D.O.
• Michelle Duel
• Deborah F Duey, CNS, APRN

• Procedural Dermatology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.