Bielinski Dermatology Group, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

BIELINSKI DERMATOLOGY GROUP, LLC

Practice address

3900 W 95TH St Ste 12
Evergreen Park, IL 60805-1901

Phone

(708) 636-3767

Fax

(708) 873-5849

NPI assigned

Jan 26, 2026

Organization subpart

No

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

Authorized official

Name

Lawrence Lazelle Anderson, MD

Title

President/Owner

Phone

(903) 521-6143

Specialties & licenses 1

Addresses

Tax ID family

Bielinski Dermatology Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bielinski Dermatology Group LLC

  • Dermatology Physician
  • Frankfort, IL
  • NPI 1306066923
  NPD tax ID
• Bielinski Dermatology Group, LLC

  • Non-Pharmacy Dispensing Site
  • Orland Park, IL
  • NPI 1083563712
  NPD tax ID

Locations

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1609725340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675503",
            "telephone_number": "708-636-3767",
            "fax_number": "708-873-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST STE 12",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051901",
            "telephone_number": "708-636-3767",
            "fax_number": "708-873-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIELINSKI DERMATOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "LAZELLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-521-6143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn L. Benak, CRNA
• Jessica L Bender, D.O.
• Jeanne Ellen Bennett, LMT
• Jessica Berger, PA-C
• Shailender K Bhatia, M.D.
• Kristin Melissa Bilas, SLP
• April A Birge, MSOT, OTR/L
• Kenyatta Black
• Luke Blaeser
• Kinga Bobak

• Non-Pharmacy Dispensing Site in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Non-Pharmacy Dispensing Site in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.