Individual provider Active NPI

Victoria Catherine Kuritza

  • Dermatology Physician
  • Park Ridge, IL
National Provider Identifier
1174151765
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.164178 Issued in IL
Practice address
110 N Home Ave
Park Ridge, IL 60068-3066
Phone
(847) 830-2222
NPI assigned
Mar 30, 2020
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 036.164178 IL Primary

Addresses

Primary practice location

110 N Home Ave
Park Ridge, IL 60068-3066

Mailing address

110 N Home Ave
Park Ridge, IL 60068-3066
Phone (847) 830-2222

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
I20240909002169 IL Practitioner - Dermatology 0547700213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Dermatology Associates of Chicago LTDGroup PAC ID 0042539702, 7 clinicians

Practice addresses (Care Compare)

363 W Erie St
Suite 350
Chicago, IL 60654-6933
Phone (312) 922-1955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions146
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.164178ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Dermatology Associates of Chicago, LTD Dermatology CurrentSince Aug 26, 2024 Accepting new patients

Locations

363 W Erie St
Ste 350
Chicago, IL 60654
Phone (312) 922-1955

Interoperability endpoints

  • Direct secure messaging: vkuritza115500@uihealth.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1174151765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N HOME AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683066",
            "telephone_number": "847-830-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HOME AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683066",
            "telephone_number": "847-830-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURITZA",
        "first_name": "VICTORIA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.164178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.