Organization Active NPI

Skinio Services, S.C.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1639847700
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKINIO SERVICES, S.C.
Practice address
171 N Aberdeen St Ste 400
Chicago, IL 60607-1670
Phone
(855) 754-6400
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Kyoko Crawford
Title
Ceo
Phone
(917) 670-0821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

171 N Aberdeen St Ste 400
Chicago, IL 60607-1670

Mailing address

171 N Aberdeen St Ste 400
Chicago, IL 60607-1670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1639847700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N ABERDEEN ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N ABERDEEN ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071670",
            "telephone_number": "855-754-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINIO SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KYOKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-670-0821"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.