Clear Complexions LTD.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036078464 Issued in IL

Legal business name

CLEAR COMPLEXIONS LTD.

Practice address

705 E. Golf Road
Schaumburg, IL 60173-4511

Phone

(847) 843-0200

Fax

(847) 843-0281

NPI assigned

Jan 26, 2007

Organization subpart

Yes

Parent organization

CLEAR COMPLEXIONS LTD.As reported in NPPES

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

Authorized official

Name

Dr. Hank Nichamin, M.D.

Title

Medical Director

Phone

(847) 843-0200

Specialties & licenses 2

Addresses

Other names 1

• Clear Complexions Rx, Ltd. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Clear Complexions LTD

Locations

Practitioners 1

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

• Henry David Nichamin, M.D.

  • Dermatology Physician
  • Schaumburg, IL
  • NPI 1114943065

  Dermatology, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1306992128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E. GOLF ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-843-0200",
            "fax_number": "847-843-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E. GOLF ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-843-0200",
            "fax_number": "847-843-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR COMPLEXIONS LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEAR COMPLEXIONS  LTD.",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "NICHAMIN",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-843-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036078464",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036078464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Complexions Rx, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Cisneros-Elacio
• Anali Cisneros, PA-C
• Clara Counseling and Psychological Services, P.C.
• Kelly M Clark, MSW LSW
• Clay Therapeutic Services
• Clear Path Healthcare Services, Inc
• Clearbrook
• Clearbrook
• Clearbrook
• Ronald Joseph Clemente, DPM

• All providers in Schaumburg, IL
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.