Active NPI
Chicago Dermatology and Cosmetic Center, LTD
- Dermatology Physician
- Darien, IL
National Provider Identifier
1194185280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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 DirectoryLocations
2861 83rd St
Darien, IL 60561
Phone (630) 427-1800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.