Organization Active NPI

Aesthetic and Clinical Dermatology Associates, LTD

  • Dermatology Physician
  • Hinsdale, IL
National Provider Identifier
1023067964
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
042007910 Issued in IL
Legal business name
AESTHETIC AND CLINICAL DERMATOLOGY ASSOCIATES, LTD
Practice address
908 N Elm St
Suite 309
Hinsdale, IL 60521-3635
Phone
(630) 455-1756
Fax
(630) 455-1759
NPI assigned
May 8, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Scott L Zahner, M.D.
Title
President
Phone
(630) 455-1756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 042007910 IL Primary

Addresses

Primary practice location

908 N Elm St
Suite 309
Hinsdale, IL 60521-3635

Mailing address

908 N Elm St
Ste 300
Hinsdale, IL 60521-3625
Phone (630) 455-1756

Other names 1

  • Aesthetic and Clinical Dermatology Associates of Hinsdale, Ltd Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0954886Aesthetic & Clinical Dermatology Associates908 N Elm Street, Suite 300, Hinsdale, IL 60521ComplianceAug 24, 2027

National Provider Directory

National Provider Directory

Locations

2435 Dean St
Unit 2E
St Charles, IL 60175
Phone (630) 443-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1023067964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "630-455-1756",
            "fax_number": "630-455-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 309",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-455-1756",
            "fax_number": "630-455-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC AND CLINICAL DERMATOLOGY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "ZAHNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-455-1756",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "042007910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic and Clinical Dermatology Associates of Hinsdale, Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.