Individual provider Active NPI

Victoria Marie Dukharan

  • Dermatology Physician
  • Libertyville, IL
National Provider Identifier
1316697550
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.179538 Issued in IL
Practice address
1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307
Phone
(847) 367-5575
Fax
(847) 367-5579
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME167798 FL
Dermatology Physician 207N00000X 036.179538 IL Primary

Addresses

Primary practice location

1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307

Mailing address

1240 N Milwaukee Ave Ste B
Libertyville, IL 60048-1307
Phone (847) 367-5575

Other practice location 1

1425 N Hunt Club Rd Ste 202
Gurnee, IL 60031-2635
Phone (847) 855-1730

Other practice location 2

1240 N Milwaukee Ave Ste B
Libertyville, IL 60048-1307
Phone (847) 367-5575

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Victoria.Dukharan@forefrontdermatology.emadirect.md Direct
Direct Messaging Address Victoria.Dukharan@forefrontdermatology.emadirect.md Direct
Direct Messaging Address Victoria.Dukharan@forefrontdermatology.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 York St
Manitowoc, WI 54220-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME167798FLMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1316697550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N MILWAUKEE AVE STE B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481307",
            "telephone_number": "847-367-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MILWAUKEE AVE STE A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481307",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 N Hunt Club Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600312635",
            "country_code": "US",
            "telephone_number": "847-855-1730",
            "fax_number": "847-855-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 N Milwaukee Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481307",
            "country_code": "US",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKHARAN",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME167798",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.179538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Victoria.Dukharan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Hunt Club Rd Ste 202",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600312635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Victoria.Dukharan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 N Milwaukee Ave Ste A",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Victoria.Dukharan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 N Milwaukee Ave Ste B",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.