NPIMap

Organization Active NPI

Pinnacle Dermatology, S.C.

  • Dermatology Physician
  • Elmhurst, IL
National Provider Identifier
1073575627
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036107390 Issued in IL
Legal business name
PINNACLE DERMATOLOGY, S.C.
Practice address
103 N Haven Rd
Ste 7
Elmhurst, IL 60126-2973
Phone
(630) 832-2111
Fax
(630) 832-5199
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Paula Kaye Lapinski, MD
Title
Owner
Phone
(815) 744-8554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 036107390 IL Primary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X 036107390 IL
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

103 N Haven Rd
Ste 7
Elmhurst, IL 60126-2973

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (630) 793-8185

Other identifiers 1

IdentifierTypeStateIssuer
0361073902MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Dermatolgy SC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1073575627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "630-793-8185",
            "fax_number": "630-832-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD",
            "address_2": "STE 7",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-832-2111",
            "fax_number": "630-832-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LAPINSKI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-8554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036107390",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036107390",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361073902",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.