Organization Active NPI

Myskin LLC

  • Other Specialist/Technologist
  • Chicago, IL
National Provider Identifier
1306626676
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
MYSKIN LLC
Practice address
4751 N Malden St Apt 3S
Chicago, IL 60640-5195
Phone
(616) 540-8473
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mrs. Heidi Sue Laabs
Title
Co-Founder
Phone
(616) 540-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

4751 N Malden St Apt 3S
Chicago, IL 60640-5195

Mailing address

4751 N Malden St Apt 3S
Chicago, IL 60640-5195
Phone (616) 540-8473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1306626676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 N MALDEN ST APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405195",
            "telephone_number": "616-540-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 N MALDEN ST APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405195",
            "telephone_number": "616-540-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "LAABS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "616-540-8473",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.