Organization Active NPI

Northwestern Skin Cancer Institute, LTD

  • MOHS-Micrographic Surgery Physician
  • Chicago, IL
National Provider Identifier
1306801246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
NORTHWESTERN SKIN CANCER INSTITUTE, LTD
Practice address
737 N Michigan Ave
Suite 2310
Chicago, IL 60611-2635
Phone
(312) 266-6647
Fax
(312) 266-6612
NPI assigned
Apr 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jean Christophe Lapiere, M.D.NPI 1598760977
Title
Physician
Phone
(312) 266-6647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X IL Primary

Addresses

Primary practice location

737 N Michigan Ave
Suite 2310
Chicago, IL 60611-2635

Mailing address

737 N Michigan Ave
Suite 2310
Chicago, IL 60611-2635
Phone (312) 266-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000787 IL Part B Supplier - Clinic/Group Practice 2860475274 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0997837Northwestern Skin Cancer Institute737 N Michigan Ave, Ste 2310, Chicago, IL 60611ComplianceJan 15, 2028

National Provider Directory

National Provider Directory

Locations

737 N Michigan Ave
Ste 2310
Chicago, IL 60611
Phone (312) 266-6647

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306801246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "SUITE 2310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112635",
            "telephone_number": "312-266-6647",
            "fax_number": "312-266-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "SUITE 2310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112635",
            "telephone_number": "312-266-6647",
            "fax_number": "312-266-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN SKIN CANCER INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAPIERE",
        "authorized_official_first_name": "JEAN CHRISTOPHE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-266-6647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "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 Aug 22, 2020; 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.