Basko Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036.132089 Issued in IL

Legal business name

BASKO DERMATOLOGY LLC

Practice address

1331 W 75TH St Ste 402
Naperville, IL 60540-9336

Phone

(630) 596-8045

Fax

(630) 590-9634

NPI assigned

Jul 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Juliana Llazar Basko-Plluska, MDNPI 1295086742

Title

Owner

Phone

(773) 988-5833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 14

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

• Juliana Llazar Basko-Plluska, M.D.

  • Dermatology Physician
  • Naperville, IL
  • NPI 1295086742
  Medicare reassignment Care Compare group NPD Authorized official
• Maria L Espinosa

  • Dermatology Physician
  • Naperville, IL
  • NPI 1114506573
  Medicare reassignment Care Compare group NPD
• Joseph A Franco, M.D.

  • Plastic Surgery Physician
  • Oak Park, IL
  • NPI 1750324257
  Medicare reassignment Care Compare group NPD
• James Lassiter Quertermous, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hoffman Estates, IL
  • NPI 1184919508

  Dermatology

  Medicare reassignment Care Compare group NPD
• Andia Mitri Renz, MD

  • Dermatology Physician
  • Naperville, IL
  • NPI 1578191391
  Medicare reassignment Care Compare group NPD
• Sarah Lynn Mahoney, P.A.

  • Physician Assistant
  • Naperville, IL
  • NPI 1720238322
  Medicare reassignment Care Compare group
• Sylwia Mirek

  • Physician Assistant
  • Naperville, IL
  • NPI 1508417791
  Medicare reassignment Care Compare group
• Jie Song, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Libertyville, IL
  • NPI 1114223351
  Medicare reassignment Care Compare group
• Andrea Trombetta, PA

  • Physician Assistant
  • Naperville, IL
  • NPI 1861021057
  Medicare reassignment Care Compare group
• Traci Walters, PA-C

  • Physician Assistant
  • Tinley Park, IL
  • NPI 1134519465
  Medicare reassignment
• Magdeline S Riemenschneider, PA-C

  • Physician Assistant
  • Henderson, NV
  • NPI 1588942775

  IL

  Medicare reassignment
• Meghan Beatson, MD

  • Dermatology Physician
  • Washington, DC
  • NPI 1386272441
  NPD

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1245716042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 402",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-596-8045",
            "fax_number": "630-590-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 402",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409336",
            "telephone_number": "630-596-8045",
            "fax_number": "630-590-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASKO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BASKO-PLLUSKA",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "LLAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-988-5833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.132089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaidan Barton
• Kevin Charles Barton, LCPC, NCC, CMPC
• Natalie Bartos, RD, LDN
• Christina Cherie Bartz, PA-C
• Shannon Basco
• Juliana Llazar Basko-Plluska, M.D.
• William Bass
• Trinity Bassette
• Gauri S Basu, MS, CCC-SLP/L
• Krishna Sarada Bathina, MD

• Dermatology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.