Dermatology Partners of the North Shore LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC

Practice address

400 Skokie Blvd
Suite 475
Northbrook, IL 60062-7930

Phone

(847) 272-4433

NPI assigned

Jan 30, 2007

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Draluck, M.D.NPI 1417066911

Title

Member

Phone

(847) 272-4433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 16

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.

• Jeffrey C Draluck, M.D.

  • Dermatology Physician
  • Northbrook, ID
  • NPI 1417066911

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Sara Bagherihut, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1992561229
  Medicare reassignment Care Compare group NPD
• Bonnie L Barsky, M.D.

  • Specialist
  • Northbrook, IL
  • NPI 1114957156
  Medicare reassignment Care Compare group NPD
• Bruce Bennin, M.D.

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1902915507
  Medicare reassignment Care Compare group NPD
• Romi Bloom, M.D.

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1750735593
  Medicare reassignment Care Compare group NPD
• Steven Baxter Deliduka, M.D.

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1598712937
  Medicare reassignment Care Compare group NPD
• Victoria Godinez-Puig, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1598197634
  Medicare reassignment Care Compare group NPD
• Nicole Papastathis Huffman, M.D.

  • Dermatology Physician
  • Northbrook, IL
  • NPI 1740448927
  Medicare reassignment Care Compare group NPD
• James G Lahti, M.D.

  • MOHS-Micrographic Surgery Physician
  • Northbrook, IL
  • NPI 1689783086

  Dermatology

  Medicare reassignment Care Compare group NPD
• David Bryan Shanker, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1619905734
  Medicare reassignment Care Compare group NPD
• Josephine Driscoll

  • Physician Assistant
  • Northbrook, IL
  • NPI 1396282695
  Medicare reassignment Care Compare group
• Nikki N Kim, MD

  • Dermatology Physician
  • Elmhurst, IL
  • NPI 1700197811
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1114063591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "SUITE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627930",
            "telephone_number": "847-272-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "SUITE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627930",
            "telephone_number": "847-272-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DRALUCK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-272-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Dianne Demetrius-Lallas
• Nicole Demory, LPC
• Alicia Ann Denefe, LCPC
• Allison B Dennison
• Sarah Marie Depillo
• Theresa Derobertis
• Maria Derylo, DNP MSN ANP BC
• Valdina Desdunes
• Julianne Despain, RBT-18-67374
• Nathalie Jane Deutsch, BCBA

• Dermatology Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.