Organization Active NPI

Barsky Dermatological Associates Chartered

  • Dermatology Physician
  • Oak Brook, IL
National Provider Identifier
1306044128
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BARSKY DERMATOLOGICAL ASSOCIATES CHARTERED
Practice address
120 Oak Brook Center Mall
#316 And #318
Oak Brook, IL 60523-1806
Phone
(630) 571-2630
Fax
(630) 571-3781
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Ruth Nesavas-Barsky, MD
Title
MD
Phone
(630) 571-2630

Specialties & licenses 1

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

Addresses

Primary practice location

120 Oak Brook Center Mall
#316 And #318
Oak Brook, IL 60523-1806

Mailing address

120 Oak Brook Center Mall
#316 And #318
Oak Brook, IL 60523-1806
Phone (630) 571-2630

National Provider Directory

National Provider Directory

Locations

120 Oakbrook Ctr
Ste 316
Oak Brook, IL 60523
Phone (630) 571-2630

Practitioners & affiliated clinicians

Practitioners 2

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1306044128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAK BROOK CENTER MALL",
            "address_2": "#316 AND #318",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-571-2630",
            "fax_number": "630-571-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAK BROOK CENTER MALL",
            "address_2": "#316 AND #318",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-571-2630",
            "fax_number": "630-571-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARSKY DERMATOLOGICAL ASSOCIATES CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "NESAVAS-BARSKY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-571-2630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.