Individual provider Active NPI

Lisa Li Zhai, MD

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1528708021
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036178447 Issued in IL
Practice address
2148 N Damen Ave
Chicago, IL 60647-4562
Phone
(773) 938-8128
Fax
(773) 938-8126
NPI assigned
Mar 31, 2022
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036178447 IL Primary

Addresses

Primary practice location

2148 N Damen Ave
Chicago, IL 60647-4562

Mailing address

640 N Broad St Apt 511
Philadelphia, PA 19130-3434
Phone (412) 759-3871

Other practice location 1

7123 W Archer Ave
Chicago, IL 60638-2203
Phone (773) 586-4506

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625001431 IL Practitioner - Dermatology 4880167402

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60673

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians Group, LLC Dermatology CurrentSince Aug 1, 2026 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Aug 1, 2026 Accepting new patients

Locations

2148 N Damen Ave
Chicago, IL 60647
Phone (773) 938-8128

7123 W Archer Ave
Chicago, IL 60638
Phone (773) 586-4506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1528708021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N BROAD ST APT 511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303434",
            "telephone_number": "412-759-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474562",
            "telephone_number": "773-938-8128",
            "fax_number": "773-938-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7123 W Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382203",
            "country_code": "US",
            "telephone_number": "773-586-4506",
            "fax_number": "773-586-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAI",
        "first_name": "LISA",
        "middle_name": "LI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036178447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.