Organization Active NPI

SKN Institute, PLLC

  • Dermatology Physician
  • Elmhurst, IL
National Provider Identifier
1184432973
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKN INSTITUTE, PLLC
Practice address
105 S York St Ste 500
Elmhurst, IL 60126-3454
Phone
(630) 815-3181
Fax
(630) 233-9902
NPI assigned
Dec 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Paula Shah Malhotra, MDNPI 1821262940
Title
MD/Owner
Phone
(630) 455-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

105 S York St Ste 500
Elmhurst, IL 60126-3454

Mailing address

105 S York St Ste 500
Elmhurst, IL 60126-3454
Phone (630) 815-3181

Other names 1

  • SKN Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115001014 IL Part B Supplier - Clinic/Group Practice 1951839166 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

105 S York St
Ste 500
Elmhurst, IL 60126
Phone (630) 349-3040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1184432973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S YORK ST STE 500",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263454",
            "telephone_number": "630-815-3181",
            "fax_number": "630-233-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S YORK ST STE 500",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263454",
            "telephone_number": "630-815-3181",
            "fax_number": "630-233-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKN INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SHAH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "630-455-0045",
        "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": [
        {
            "organization_name": "SKN Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.