Skinnovate, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKINNOVATE, LLC

Practice address

9305 Calumet Ave Ste A1
Munster, IN 46321-2888

Phone

(847) 499-5500

NPI assigned

Dec 6, 2019

Last updated

May 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David MannNPI 1912223322

Title

Partner

Phone

(847) 499-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medovate LLC

  • Multi-Specialty Clinic/Center
  • Buffalo Grove, IL
  • NPI 1053816835

  0941552277

  Same PAC ID

Locations

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.

• Elizabeth Ann Springer, MD

  • Procedural Dermatology Physician
  • Whiting, IN
  • NPI 1841273513
  Medicare reassignment NPD
• David J. Mann, MD

  • Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1912223322
  NPD Authorized official
• Sheryl L Hoyer, MD

  • Dermatology Physician
  • Grayslake, IL
  • NPI 1760474928
  NPD
• Donovan Kearns, MD

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1801473624
  NPD
• Elizabeth Labuz Noble, M.D.

  • MOHS-Micrographic Surgery Physician
  • Newberry, FL
  • NPI 1568606572

  Dermatology

  NPD

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1457998692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894541",
            "telephone_number": "847-499-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 CALUMET AVE STE A1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212888",
            "telephone_number": "847-499-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNOVATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-499-5500"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuldeep Singh, M.D.
• Savitha Singh, MD
• Milani Sivagnanam, M.D.
• Skin Dermatology, LLC
• Skin Vein & Cosmetic Surgery Clinic PC
• Christopher James Skrivan, D.C.
• Isabelle Marie Skurka, NP-BC
• Morgan Slawson
• Meghan Slivka, LMT
• Dylan Slotar, MD

• Dermatology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.