Active NPI
Arlington Dermatology SC
- Dermatology Physician
- Rolling Meadows, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ARLINGTON DERMATOLOGY SC
- Practice address
- 5301 Keystone CT
Rolling Meadows, IL 60008 - Phone
- (847) 392-5440
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ursula Cholewa
- Title
- Practice Administrator
- Phone
- (847) 392-5440
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 042000859 | IL | |
| Dermatology Physician | 207N00000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
5301 Keystone CT
Rolling Meadows, IL 60008
Mailing address
5301 Keystone CT
Rolling Meadows, IL 60008-3811
Phone (847) 392-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0686979 | Arlington Dermatology | Accreditation | Nov 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
1100 W Central Rd
Ste 200
Arlington Heights, IL 60005
Phone (847) 392-5440
5301 Keystone Ct
Rolling Meadows, IL 60008
Phone (847) 392-5440
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Rolling Meadows, IL
- NPI 1548239734
-
- Family Medicine Physician
- Rolling Meadows, IL
- NPI 1396204525
-
- Physician Assistant
- Rolling Meadows, IL
- NPI 1720336118
-
- Physician Assistant
- Rolling Meadows, IL
- NPI 1114342045
-
- MOHS-Micrographic Surgery Physician
- Coral Gables, FL
- NPI 1235766528
Dermatology, IL
-
- Physician Assistant
- Rolling Meadows, IL
- NPI 1790313146
-
- Nurse Practitioner
- Rolling Meadows, IL
- NPI 1649952219
-
- Specialist
- Arlington Heights, IL
- NPI 1578812863
-
- Family Nurse Practitioner
- Skokie, IL
- NPI 1770198228
-
- Surgical Physician Assistant
- Arlington Heights, IL
- NPI 1114913654
-
- Family Nurse Practitioner
- Brookfield, IL
- NPI 1518442995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1689692386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 KEYSTONE CT",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083811",
"telephone_number": "847-392-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 KEYSTONE CT",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "60008",
"telephone_number": "847-392-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLINGTON DERMATOLOGY SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2023-04-20",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "CHOLEWA",
"authorized_official_first_name": "URSULA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "847-392-5440"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "042000859",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.