Kiracofe MD Medical, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KIRACOFE MD MEDICAL, LLC

Practice address

618 W Fulton St
Chicago, IL 60661-1144

Phone

(847) 766-0829

Fax

(847) 892-4992

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Kiracofe, MDNPI 1336400217

Title

MD/Ceo

Phone

(847) 766-0829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Anne Kiracofe, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1336400217
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1124675244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "847-766-0829",
            "fax_number": "847-892-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "847-766-0829",
            "fax_number": "847-892-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRACOFE MD MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "KIRACOFE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "847-766-0829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Oldham Kinzler, LCSW
• Eleni G Kioussis, PT, DPT, ATC
• Andrew M Kiper, D.C.
• Alina Kipnis, MS, CF-SLP
• Matthew Kippenhan, MD
• Elizabeth Anne Kiracofe, M.D.
• David Kiragu, M.D.
• Jessica Kiragu
• Amy Kiraly, M.D.
• Kiran P Amin MDSC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.

Verify at the official NPI Registry.