Advanced Dermatology and Aesthetic Medicine

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036131459 Issued in IL

Legal business name

ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE

Practice address

850 S Wabash Ave Ste 200
Chicago, IL 60605-3642

Phone

(847) 802-9667

Fax

(408) 715-4968

NPI assigned

Aug 17, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Monica Rani, MDNPI 1053552240

Title

Medical Director

Phone

(847) 802-9667

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Rani, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Chicago, IL
  • NPI 1053552240
  Medicare reassignment Care Compare group Authorized official
• Stavonnie Patterson, M.D.

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1710021100
  Medicare reassignment Care Compare group
• Renata Block, PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1639129554
  Medicare reassignment

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1275013450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W DICKENS AVE APT 4E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144615",
            "telephone_number": "402-319-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S WABASH AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053642",
            "telephone_number": "847-802-9667",
            "fax_number": "408-715-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "RANI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-802-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036131459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic Care SC
• Advanced Clinical Health Service Corporation
• Advanced Counseling Services, Inc.
• Advanced Dental
• Advanced Dental Care
• Advanced Diagnostic Services LLC
• Advanced Diagnostics Professional Services, SC
• Advanced Diagnostics, SC
• Advanced Endodontics of Chicago
• Advanced Family Clinic LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.