Organization Active NPI

Chicago Dermatology and Cosmetic Center, LTD

  • Dermatology Physician
  • Darien, IL
National Provider Identifier
1194185280
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CHICAGO DERMATOLOGY AND COSMETIC CENTER, LTD
Practice address
2861 83Rd St
Darien, IL 60561-5612
Phone
(630) 590-5017
Fax
(630) 590-5018
NPI assigned
Mar 2, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lana Kashlan, M.D.
Title
President
Phone
(812) 243-1188

National Provider Directory

National Provider Directory

Locations

2861 83rd St
Darien, IL 60561
Phone (630) 427-1800

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2861 83Rd St
Darien, IL 60561-5612

Mailing address

2861 83Rd St
Darien, IL 60561-5612
Phone (630) 590-5017

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2016.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464566400000",
    "number": "1194185280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "630-590-5017",
            "fax_number": "630-590-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "630-590-5017",
            "fax_number": "630-590-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DERMATOLOGY AND COSMETIC CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-05-30",
        "status": "A",
        "authorized_official_last_name": "KASHLAN",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-243-1188",
        "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": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.