Organization Active NPI

Pinski Dermatology & Cosmetic Surgery SC

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1154488401
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
042000198 Issued in IL
Legal business name
PINSKI DERMATOLOGY & COSMETIC SURGERY SC
Practice address
150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7553
Phone
(312) 263-4625
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Kevin Scott Pinski, M.D.NPI 1003973413
Title
President
Phone
(312) 263-4625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 042000198 IL Primary

Addresses

Primary practice location

150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7553

Mailing address

150 N Michigan Ave
Suite 1200
Chicago, IL 60601-7553
Phone (312) 263-4625

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0678742Pinski Dermatology & Cosmetic Surgery150 N Michigan Ave - #1200, Chicago, IL 60601ComplianceJan 31, 2026

National Provider Directory

National Provider Directory

Locations

374 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 933-2227

1111 W Kenyon Rd
Ste B
Urbana, IL 61801
Phone (217) 729-7868

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1154488401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017553",
            "telephone_number": "312-263-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017553",
            "telephone_number": "312-263-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSKI DERMATOLOGY & COSMETIC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "PINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-263-4625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "042000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.