Cosmetic Dermatology&Surgerypc

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

COSMETIC DERMATOLOGY&SURGERYPC

Practice address

2605 Lincoln Hwy
Olympia Fields, IL 60461-1846

Phone

(708) 481-9370

Fax

(708) 481-9369

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir V Panine, MD.

Title

Owner

Phone

(708) 481-9370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Veronica Page, MD

  • Dermatology Physician
  • Olympia Fields, IL
  • NPI 1487652798
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1629260039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 LINCOLN HWY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611846",
            "telephone_number": "708-481-9370",
            "fax_number": "708-481-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 LINCOLN HWY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611846",
            "telephone_number": "708-481-9370",
            "fax_number": "708-481-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC DERMATOLOGY&SURGERYPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PANINE",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-481-9370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Scott Coolidge, M.D.
• Elaine M Cooper, COTA
• Erik Cooper, DO
• Cornerstone Caregiving East LLC
• Karina Corona
• Tiana Crider
• Jill Cryder, FNP-BC
• Crystal Smiles Dental
• Joseph Rocco Cutrone, DO
• David Dardick, DMD

• Procedural Dermatology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.