Individual provider Active NPI

Lauren Marie Boshnick, MD

  • Dermatology Physician
  • Algonquin, IL
National Provider Identifier
1093219610
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036163224 Issued in IL
Practice address
2430 Esplanade Dr Ste B
Algonquin, IL 60102-5500
Phone
(847) 458-7546
Fax
(224) 509-9788
NPI assigned
Mar 19, 2018
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036163224 IL Primary

Addresses

Primary practice location

2430 Esplanade Dr Ste B
Algonquin, IL 60102-5500

Mailing address

2430 Esplanade Dr Ste B
Algonquin, IL 60102-5500
Phone (847) 458-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629001552 IL Practitioner - Dermatology 2567707094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Florida State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Illinois, LTDGroup PAC ID 7517288236, 10 clinicians

Practice addresses (Care Compare)

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500
Phone (847) 458-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of tissue1-10
Removal of skin lesions1361
Removal or shaving of skin growth44
Skin biopsy497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036163224ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Algonquin Family Chiropractic LTD. CurrentSince Jul 1, 2023 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology PastSince Aug 1, 2022 Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients
Florida Therapy Services Inc PastSince Apr 8, 2009 Accepting new patients

Locations

2430 Esplanade Dr
Ste B
Algonquin, IL 60102
Phone (224) 333-3424

Interoperability endpoints

  • Direct secure messaging: lboshnick@dermspecil.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1093219610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR STE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025500",
            "telephone_number": "847-458-7546",
            "fax_number": "224-509-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR STE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025500",
            "telephone_number": "847-458-7546",
            "fax_number": "224-509-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHNICK",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036163224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.