Individual provider Active NPI

Vanessa Chao Lichon, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lombard, IL
National Provider Identifier
1528294097
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036.131060 Issued in IL
Practice address
2340 S Highland Ave Ste 350
Lombard, IL 60148-7134
Phone
(630) 932-2099
Fax
(630) 932-9815
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036.131060 IL
Dermatology Physician 207N00000X 125053377 IL
Procedural Dermatology Physician 207NS0135X 036.131060 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036.131060 IL Primary

Addresses

Primary practice location

2340 S Highland Ave Ste 350
Lombard, IL 60148-7134

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vlichon173349@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000450 IL Practitioner - Micrographic Dermatologic Surgery (MDS) 5496994717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

2340 S Highland Ave
Lombard, IL 60148-5371
Phone (630) 545-6016

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of skin lesions211
Removal of skin cancer523
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053377ILMDDermatology Physician
036.131060ILMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jan 1, 2018 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2018 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

330 Madison St
Ste 301
Joliet, IL 60435
Phone (815) 741-3942

2340 S Highland Ave
Lombard, IL 60148
Phone (630) 495-3338

2830 S Highland Ave
Ste C
Lombard, IL 60148

2340 S Highland Ave
Ste 350
Lombard, IL 60148
Phone (630) 462-7676

1600 W US Route 6
Morris, IL 60450
Phone (815) 364-8915

Interoperability endpoints

  • Direct secure messaging: vlichon173349@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1528294097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 350",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487134",
            "telephone_number": "630-932-2099",
            "fax_number": "630-932-9815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Plainfield Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604031865",
            "country_code": "US",
            "telephone_number": "815-741-4343",
            "fax_number": "815-741-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHON",
        "first_name": "VANESSA",
        "middle_name": "CHAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.131060",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125053377",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036.131060",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.131060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlichon173349@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2340 S Highland Ave Ste 350",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601487134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.