Dermatology and Plastic Surgery Associates, S.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

036108932 Issued in IL

Legal business name

DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C.

Practice address

1124 Essington Rd
Joliet, IL 60435-8423

Phone

(815) 744-8554

Fax

(815) 744-3969

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Rios, M.D.

Title

V.P.

Phone

(815) 744-8554

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 33

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

• Seema Pasha Apichai, M.D.

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1811204399
  NPD
• Michael Kenneth Schowalter, M.D.

  • Dermatology Physician
  • Lombard, IL
  • NPI 1780028332
  NPD
• Michael Jude Welsch, MD

  • Dermatology Physician
  • Lombard, IL
  • NPI 1932175767
  NPD
• Olga Semyonovna Radkevich-Brown, M.D., PH.D.

  • Dermatology Physician
  • King of Prussia, PA
  • NPI 1992047468
  NPD
• Elizabeth Ann Springer, MD

  • Procedural Dermatology Physician
  • Whiting, IN
  • NPI 1841273513
  NPD
• Monica Aldulescu, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Lombard, IL
  • NPI 1508283821
  NPD (past)
• Emily Michelle Beck, M.D.

  • Dermatology Physician
  • Frankfort, IL
  • NPI 1770923559
  NPD (past)
• Jennifer Ann Dudak, P.A.

  • Physician Assistant
  • Hinsdale, IL
  • NPI 1588764062
  NPD (past)
• Imge Hulur, MD

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1447600945
  NPD (past)
• Bernardino Michael Mendez, M.D.

  • Plastic Surgery Physician
  • Joliet, IL
  • NPI 1114216363
  NPD (past)
• Kelly Rankin, PA-C

  • Physician Assistant
  • Joliet, IL
  • NPI 1932448396
  NPD (past)
• Michael D Render, PA-C

  • Physician Assistant
  • Hoffman Estates, IL
  • NPI 1134679129
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1700987328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358423",
            "telephone_number": "815-744-8554",
            "fax_number": "815-744-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358423",
            "telephone_number": "815-744-8554",
            "fax_number": "815-744-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "815-744-8554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036108932",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036109103",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085002224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "09932211",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Illinois, P.C. (Essington Family Dental Care)
• Dental Smiles
• Dental Smiles of Joliet
• Danielle Deoca
• Frances Gulotta Deppe, MD
• Maryse Beaudouin Derosena, BS MHA LDN
• Des Plaines Physician Services, P.C.
• Paul M Desrosiers, MD
• Doroty O.D.S. Devalon, PA-C
• Developmental and School Based Consultants LTD

• Procedural Dermatology Physician in Joliet, IL
• Providers in Joliet, 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 Mar 22, 2017; 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.