Active NPI
Goldin Dermatology LLC
- Specialist
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GOLDIN DERMATOLOGY LLC
- Practice address
- 4709 Golf Rd Ste 1000
Skokie, IL 60076-1260 - Phone
- (847) 677-2080
- Fax
- (847) 677-2098
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harry Mark Goldin, MD
- Title
- Practice Owner
- Phone
- (847) 677-2080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4709 Golf Rd Ste 1000
Skokie, IL 60076-1260
Mailing address
4709 Golf Rd Ste 1000
Skokie, IL 60076-1260
Phone (847) 677-2080
Other names 1
- Goldin Skin Dermatology LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0414140 | Goldin Skin Dermatology | Compliance | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
4709 Golf Rd
Ste 1000
Skokie, IL 60076
Phone (847) 677-1170
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Specialist
- Skokie, IL
- NPI 1184619785
-
- Physician Assistant
- Skokie, IL
- NPI 1932642238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407196800000",
"number": "1487063335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 GOLF RD STE 1000",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761260",
"telephone_number": "847-677-2080",
"fax_number": "847-677-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 GOLF RD STE 1000",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761260",
"telephone_number": "847-677-2080",
"fax_number": "847-677-2098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDIN DERMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A",
"authorized_official_last_name": "GOLDIN",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "847-677-2080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goldin Skin Dermatology LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.