Active NPI
Nilam K. Amin, D.O., S.C.
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1023169570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036115389
- Legal business name
- NILAM K. AMIN, D.O., S.C.
- Practice address
- 1460 N Halsted St
Suite #505
Chicago, IL 60642-2605 - Phone
- (312) 266-6462
- Fax
- (312) 266-6481
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nilam Kiran Amin, D.O.
- Title
- Owner
- Phone
- (312) 266-6462
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036115389 | IL | Primary |
Addresses
Primary practice location
1460 N Halsted St
Suite #505
Chicago, IL 60642-2605
Mailing address
1460 N Halsted St
Suite #505
Chicago, IL 60642-2605
Phone (312) 266-6462
Other names 1
- NIMA Skin Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1460 N Halsted St
Chicago, IL 60642
Phone (312) 695-2335
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Chicago, IL
- NPI 1619907995
-
- Physician Assistant
- Chicago, IL
- NPI 1568296119
-
- Dermatology Physician
- Chicago, IL
- NPI 1396776498
-
- Physician Assistant
- Chicago, IL
- NPI 1083159487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272326400000",
"number": "1023169570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 N HALSTED ST",
"address_2": "SUITE #505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422605",
"telephone_number": "312-266-6462",
"fax_number": "312-266-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N HALSTED ST",
"address_2": "SUITE #505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422605",
"telephone_number": "312-266-6462",
"fax_number": "312-266-6481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NILAM K. AMIN, D.O., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2010-04-27",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "NILAM",
"authorized_official_middle_name": "KIRAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-266-6462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "IL",
"license": "036115389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NIMA Skin Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.