Organization Active NPI

Dermacare Plus, LTD

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1487722831
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036112407 Issued in IL
Legal business name
DERMACARE PLUS, LTD
Practice address
4256 N Arlington Heights Rd
Suite 240
Arlington Heights, IL 60004-1300
Phone
(847) 253-0807
Fax
(847) 253-0837
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Mrs. Bella J Solo
Title
Office Manager
Phone
(847) 253-0807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 051.291589 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036112407 IL Primary

Addresses

Primary practice location

4256 N Arlington Heights Rd
Suite 240
Arlington Heights, IL 60004-1300

Mailing address

4256 N Arlington Heights Rd
Suite 240
Arlington Heights, IL 60004-1300
Phone (847) 253-0807

Other identifiers 1

IdentifierTypeStateIssuer
2232893OtherILBCBS OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

4256 N Arlington Heights Rd
Ste 240
Arlington Heights, IL 60004
Phone (847) 253-0807

4256 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 253-0807

135 N Arlington Heights Rd
Ste 185
Buffalo Grove, IL 60089
Phone (630) 835-0123

325 E North Ave
Villa Park, IL 60181
Phone (630) 835-0123

Practitioners & affiliated clinicians

Practitioners 1

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": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1487722831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041300",
            "telephone_number": "847-253-0807",
            "fax_number": "847-253-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041300",
            "telephone_number": "847-253-0807",
            "fax_number": "847-253-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMACARE PLUS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SOLO",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-253-0807",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.291589",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "2232893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.